Doctor Name: | JAMES A KILGORE |
NPI Number: | 1003980889 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD13741 |
Business Practice Address: | 19250 Sw 65th Ave #365 Tualatin, OR - 97062 |
Business Phone Number: | 5036910364 |
Business Fax Number: | 5036126663 |
Mailing Address: | 19875 Sw 49th Ave, TUALATIN |
State: | OR |
Postal Code: | 97062 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | MD13741 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |