Individual
KAREN SUE KILLGORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2414 FOXCROFT RD NW, WILSON, NC 27896-1381
(252) 299-6099
Mailing address
2414 FOXCROFT RD NW, WILSON, NC 27896-1381
(252) 299-6099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4644
NC
Other
Enumeration date
05/21/2015
Last updated
05/21/2015
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