Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1346291358 Deactivated / Inactive NPI Female Practitioner

Dr. Kimberly Jean Kilgore , MD

Pediatrics • Dededo, GU

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Kimberly Kilgore has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 15, 2006
NPI Deactivation Date March 02, 2022
Total Practice Duration ~16 Years of Practice (2006 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Kimberly Kilgore, MD was a registered Pediatrics practicing in Dededo, GU. Throughout an active medical career spanning 16 years, Dr. Kilgore provided care at the practice location at 133 ROUTE 3 until profile deactivation on 2022-03-02.

Practice Location & Contact Primary Location

Practice Address

133 Route 3

Dededo, GU 969296911

Telephone 6716855465
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Dededo, GU

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Dededo, GU (20 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License GU M1960

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Joseph John Mendiola

Student in an Organized Health Care Education/Training Program

NPI 1013584333
Geneva Lyn Lei

Physical Therapist

NPI 1013628197
Christina Coles , MA, CCC-SLP

Speech-Language Pathologist

NPI 1033949771

Master of Arts, Speech-Language Pathologist (Certificate of Clinical Competence)

NPI 1043048721

Physical Therapist, Doctor of Physical Therapy

NPI 1063640829

Doctor of Medicine (M.D.)

Dr. Luc Jasmin , MD

Neurological Surgery

NPI 1083623193

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
⚠️
NPI Profile Deactivated March 02, 2022

Record deactivated on March 02, 2022

📍
Updated Practice Location August 17, 2020

Registered at SIDNEY HEALTH CENTER, 216 14TH AVE SW, SIDNEY, MT 592703519 (Tel: 4064882100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 17, 2020

Pediatrics (License #89047 in MT)

📍
Updated Practice Location July 15, 2020

Registered at 3555 N DOUGLAS HWY, JUNEAU, AK 998019414 (Tel: 4074160552)

📍
Updated Business Mailing Address July 15, 2020

Registered at 3555 N DOUGLAS HWY, JUNEAU, AK 998019414 (Tel: 4074160552)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2020

Pediatrics (License #ME66893 in FL)

NPI Profile Active June 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location June 18, 2016

Registered at 133 ROUTE 3, DEDEDO, GU 969296911 (Tel: 6716855465)

📍
Updated Business Mailing Address June 18, 2016

Registered at 133 ROUTE 3, DEDEDO, GU 969296911 (Tel: 6716855465)

👤
Provider Name / Credentials Updated June 18, 2016

Recorded as KIMBERLY KILGORE, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 18, 2016

Pediatrics (License #M1960 in GU)

🟢
Initial NPI Registration & Enumeration May 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Kimberly Kilgore. Be the first to share your experience!

Sign in to leave a review for Dr. Kimberly Kilgore

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1346291358
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 15, 2006
Last Update: June 18, 2016
Deactivation Date: March 02, 2022

Mailing Address

133 Route 3

Dededo, GU 969296911

Phone: 6716855465

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.