| Katherine L Kilcollin, Dds Pllc | |
|
247 Health Center Drive Union WV 24983 | |
| (304) 772-3333 | |
| (304) 772-3512 |
| Full Name | Katherine L Kilcollin, Dds Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 247 Health Center Drive, Union, West Virginia |
| Authorized Official Name and Position | Katherine L Kilcollin (OWNER) |
| Authorized Official Contact | 3047723333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine L Kilcollin, Dds Pllc Po Box 618 Union WV 24983 Ph: (304) 772-3333 | Katherine L Kilcollin, Dds Pllc 247 Health Center Drive Union WV 24983 Ph: (304) 772-3333 |
| NPI Number | 1699904409 |
|---|---|
| Provider Enumeration Date | 07/14/2009 |
| Last Update Date | 12/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699904409 | NPI | - | NPPES |
| 0135408000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 2092 (West Virginia) | Primary |
Panucci Orthodontics, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5800 Willow Bend Rd, Union, WV 24983 Phone: 304-772-3707 |