Individual
DR. KELLERY KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2634 CAPITAL CIR NE BLDG B, TALLAHASSEE, FL 32308-4106
(850) 523-3333
Mailing address
2634 CAPITAL CIR NE BLDG B, TALLAHASSEE, FL 32308-4106
(850) 523-3333
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY10229
FL
Other
Enumeration date
01/18/2019
Last updated
10/29/2019
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