James Edward Kilgore II, PTA
Physical Medicine & Rehabilitation in Mesa, AZ. Individual provider (NPI-1).
NPI number1790793339
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1790793339
- Entity type
- Individual (NPI-1)
- Name
- Mr. James Edward Kilgore II
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 3, 2006
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 7346A | AZ | Yes |
Practice location
1345 E McKellips Rd Ste 101Mesa, AZ 85203-2721
Phone 480-827-0495 · Fax 480-827-2534
Mailing address
265 N LesueurMesa, AZ 85203-7906
Phone 480-615-4260
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 47 Physical Medicine & Rehabilitation Physician providers in Mesa · All 13,507 providers in Mesa
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