Individual
JAMES V KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2029
(775) 688-2004
Mailing address
480 GALLETTI WAY, SPARKS, NV 89431-5564
(775) 688-2029
(775) 688-2004
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
0005255
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005255
LICENSED PROFESSIONAL COUNSELOR
NV
Enumeration date
02/13/2012
Last updated
02/13/2012
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