Individual
COURTNEY ELIZABETH KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13A TRAVERSE ST, WAKEFIELD, MA 01880-3331
(781) 870-0780
Mailing address
13A TRAVERSE ST, WAKEFIELD, MA 01880-3331
(781) 870-0780
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/29/2017
Last updated
07/29/2017
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