Basic Information
| Provider Information | |||||||||
| NPI: | 1245768316 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KILGORE | ||||||||
| FirstName: | ASHTON | ||||||||
| MiddleName: | ELISABETH | ||||||||
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| Mailing Information | |||||||||
| Address1: | DEPT OF EMERGENCY MEDICINE 619 19TH ST S | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352491900 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059757387 | ||||||||
| FaxNumber: | 2059754662 | ||||||||
| Practice Location | |||||||||
| Address1: | 618 20TH ST SOUTH SUITE 251 | ||||||||
| Address2: | |||||||||
| City: | BIRMINGHAM | ||||||||
| State: | AL | ||||||||
| PostalCode: | 352494756 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2059757387 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2017 | ||||||||
| LastUpdateDate: | 10/08/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 10/08/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | MD.39354 | AL | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.