Provider Demographics
NPI:1245485663
Name:KILGORE, JULIE C (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:C
Last Name:KILGORE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:C
Other - Last Name:KARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2205 E STONE RD
Mailing Address - Street 2:
Mailing Address - City:WYLIE
Mailing Address - State:TX
Mailing Address - Zip Code:75098-6814
Mailing Address - Country:US
Mailing Address - Phone:205-451-5101
Mailing Address - Fax:
Practice Address - Street 1:5500 DEMOCRACY DR STE 150
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-4202
Practice Address - Country:US
Practice Address - Phone:972-494-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-26
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10033243208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery