DR. SHANNON MICHELLE KILGORE M.D. NPI 1366485849

NPI Information

  • NPI: 1366485849
  • Provider Name: DR. SHANNON MICHELLE KILGORE, M.D.
  • Classification: Psychiatry & Neurology - 2084N0400X
  • Specialization: Neurology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3801 MIRANDA AVE
    MC 127
    PALO ALTO, CA
    ZIP 94304
  • Phone: (650) 493-5000

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NPI Details

DR. Shannon Michelle Kilgore, M.D. is a neurology psychiatry neurology in Palo Alto, CA. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Shannon Michelle Kilgore, M.D. NPI is 1366485849. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3801 MIRANDA AVE
MC 127
PALO ALTO, CA
ZIP 94304-207
Phone: (650) 493-5000
Fax: (650) 858-3999

The NPI 1366485849 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/13/2006 and was last updated on 11/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurologyA67639CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100A676390MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
200A676390OTHERCALIFORNIAMEDI-CAL PIN
3H66301MEDICARE UPINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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