Individual
MRS. KELLY LEEANN KILGORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1485 S SEMORAN BLVD, SUTIE 1480, WINTER PARK, FL 32792-5533
(407) 452-7592
Mailing address
1485 S SEMORAN BLVD, SUTIE 1480, WINTER PARK, FL 32792-5533
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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