Individual
MR. DARREN KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
269 WALKER ST, 538, DETROIT, MI 48207-4258
(313) 610-0134
Mailing address
269 WALKER ST, 538, DETROIT, MI 48207-4258
(313) 610-0134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
02/11/2014
Last updated
02/11/2014
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