Kilgus, Mark Duane

Kilgus, Mark Duane is an individual health care provider with primary practice located at 10 Patewood Dr Ste 130 , Greenville SC 29615-6317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kilgus, Mark Duane can be contacted via phone (864) 522-5550.

Contact Information

Primary practice address
10 Patewood Dr Ste 130 Greenville SC 29615-6317
Phone: (864) 522-5550
Fax: (864) 522-5555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101241086 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD36657 Tennessee
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 14995 South Carolina

Profile Details

NPI number 1093771107
LBN Legal business name Kilgus, Mark Duane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 7th, 2024 - about 2 years ago

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 1093771107 NPPES
Tennessee Other 4106719 BCBS
Tennessee Other TN01BE BCBS

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