Individual
KAITLYN KILGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
193 HOLSTON COURT LN, WEBER CITY, VA 24290-8065
(423) 502-1318
Mailing address
193 HOLSTON COURT LN, WEBER CITY, VA 24290-8065
(423) 502-1318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT0000005601
TN
Other
Enumeration date
03/23/2017
Last updated
03/23/2017
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