Individual
MS. MICHELE KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1717 MADISON AVE, COVINGTON, KY 41011-3330
(185) 936-0025
Mailing address
211 GLENWOOD PL, FRANKFORT, KY 40601-4245
(502) 229-7183
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
170815
KY
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/27/2006
Last updated
11/15/2021
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