Kilgore, Larry C

Kilgore, Larry C is an sole proprietor health care provider with primary practice located at 1926 Alcoa Hwy Ste 370 , Knoxville TN 37920-1552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Kilgore, Larry C can be contacted via phone (865) 305-5622.

Contact Information

Primary practice address
1926 Alcoa Hwy Ste 370 Knoxville TN 37920-1552
Phone: (865) 305-5622
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 09758 Alabama
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 43047 Tennessee

Profile Details

NPI number 1265482921
LBN Legal business name Kilgore, Larry C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 11th, 2006
Last updated May 2nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265482921 NPPES
Tennessee MEDICAID 103I988131
Tennessee MEDICAID 1515517

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