Diem, Ann Kilgore
Diem, Ann Kilgore is an individual health care provider with primary practice located at 14801 Chesdin Green Way , Chesterfield VA 23838-3278. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Diem, Ann Kilgore can be contacted via phone (714) 322-9761.Contact Information
Primary practice address
14801 Chesdin Green Way
Chesterfield VA 23838-3278
Phone: (714) 322-9761
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0717001358 | Virginia |
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFC 34408 | California |
Profile Details
| NPI number | 1447559919 |
|---|---|
| LBN Legal business name | Diem, Ann Kilgore |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2011 |
| Last updated | Feb 13th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447559919 | NPPES |
| Virginia | MEDICAID | 601048159 |
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