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Individual

KATRINA KILBURN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP, LISW

Contact information

Practice address
1425 S US 301, SUMTERVILLE, FL 33585-5141
(352) 793-5900
Mailing address
38104 MERIDIAN AVE, DADE CITY, FL 33525-3838
(614) 370-5512

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
I1201278
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11040244
FL

Other

Enumeration date
08/28/2012
Last updated
07/15/2025
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