Provider Demographics
NPI:1346307071
Name:KILHOFFER, LINDA L (PA)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:L
Last Name:KILHOFFER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:L
Other - Last Name:COTTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:4500 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62226-5360
Mailing Address - Country:US
Mailing Address - Phone:618-257-5840
Mailing Address - Fax:618-257-6756
Practice Address - Street 1:2100 POWELL ST
Practice Address - Street 2:SUITE 900
Practice Address - City:EMERYVILLE
Practice Address - State:CA
Practice Address - Zip Code:94608-1826
Practice Address - Country:US
Practice Address - Phone:510-350-2728
Practice Address - Fax:510-879-9128
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085001919363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant