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Douglas F Kilgore, od

Optometrist in Woodbury, MN. Individual provider (NPI-1).

NPI number1063569366
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1063569366
Entity type
Individual (NPI-1)
Name
Douglas F Kilgore
Credential
od
Sex
Male
Sole proprietor
No
Enumeration date
Jan 5, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist2314000MNYes

Practice location

7150 Valley Creek Plz Ste 216
Woodbury, MN 55125-2271

Phone 651-738-4886 · Fax 651-738-3744

Mailing address

7150 Valley Creek Plz Ste 216
Woodbury, MN 55125-2271

Phone 651-738-4886 · Fax 651-738-3744

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