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Deactivated NPI 1407975923 Deactivated / Inactive NPI Male Practitioner

Dr. John Oliver Kildow , MD

Surgery • Richland, WA

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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. John Kildow has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date March 28, 2007
NPI Deactivation Date March 09, 2020
Total Practice Duration ~13 Years of Practice (2007 – 2020)

Professional Overview & Biography Verified Profile Summary

Dr. John Kildow, MD was a registered Surgery practicing in Richland, WA. Throughout an active medical career spanning 13 years, Dr. Kildow provided care at the practice location at 1979 SNYDER ST until profile deactivation on 2020-03-09.

Practice Location & Contact Primary Location

Practice Address

1979 Snyder St
Suite 150

Richland, WA 993545319

Telephone 5093769067
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Richland, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.3 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
10 Specialists

Practicing in Richland, WA (818 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

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License WA MD00003542

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Robert Gates , PA-C

Physician Assistant - Medical

NPI 1043291438

Physician Assistant (Certified)

Jill Harvill , ATC

Specialist/Technologist - Athletic Trainer

NPI 1114044054

Certified Athletic Trainer

James Davidson , PA-C

Physician Assistant - Medical

NPI 1356322093

Physician Assistant (Certified)

Allison Durner , ARNP

Nurse Practitioner - Gerontology

NPI 1760303176

Advanced Registered Nurse Practitioner

Dr. Karen Phillips , MD, MPH

Preventive Medicine - Occupational Medicine

NPI 1760697460

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated March 09, 2020

Record deactivated on March 09, 2020

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1979 SNYDER ST, SUITE 150, RICHLAND, WA 993545319 (Tel: 5093769067)

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Updated Business Mailing Address July 08, 2007

Registered at 2707 S EVERGREEN LN, COEUR D ALENE, ID 838146878 (Tel: 2086676702)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JOHN KILDOW, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Surgery (License #MD00003542 in WA)

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Initial NPI Registration & Enumeration March 28, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407975923
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 28, 2007
Last Update: July 08, 2007
Deactivation Date: March 09, 2020

Mailing Address

2707 S Evergreen Ln

Coeur D Alene, ID 838146878

Phone: 2086676702

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.