Tek Hobert Kilgore Jr., APRN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

215876-4405 Issued in UT

Practice address

555 Foothill Drive
Studen Health Center
Salt Lake City, UT 84112

Phone

(801) 581-6431

Fax

(801) 585-5294

NPI assigned

Jul 24, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mr. Kenneth Hobert Kilgore Jr. Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University of Utah Student Health Center

  • Student Health Clinic/Center
  • Salt Lake City, UT
  • NPI 1669502456
  NPD (past)
• University of Utah Student Health Center

  • Student Health Clinic/Center
  • Salt Lake City, UT
  • NPI 1881001378
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1033319371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 FOOTHILL DRIVE",
            "address_2": "LEVEL 1",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84112",
            "telephone_number": "801-581-6431",
            "fax_number": "801-585-5294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 FOOTHILL DRIVE",
            "address_2": "STUDEN HEALTH CENTER",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84112",
            "telephone_number": "801-581-6431",
            "fax_number": "801-585-5294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "TEK",
        "middle_name": "HOBERT",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "UT",
            "license": "215876-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH",
            "last_name": "KILGORE",
            "middle_name": "HOBERT",
            "prefix": "MR.",
            "suffix": "JR.",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Cameron Kijowski
• Katharine Hutchins Kilbourne, DPT
• Thomas Martin Kilbridge, MD
• Craig J Kilburg, MD
• Shelley Aliska Kilgore
• Stephanie Kilian
• Ryan Michael Killarney, L.AC.
• Heather M Killian, PHARMD
• Maureen Louise Killila, APC
• Michael D Killpack, MD

• Primary Care Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Primary Care Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.