Individual
KELSIE KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3721 6TH AVE S, BIRMINGHAM, AL 35222-2409
(205) 795-3240
Mailing address
150 GLENWOOD LN, BIRMINGHAM, AL 35242-5700
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
01/26/2023
Last updated
01/26/2023
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