Kilgore, Audrey W
Kilgore, Audrey W is an sole proprietor health care provider with primary practice located at 2140 Kingsley Ave Ste 2 , Orange Park FL 32073-5129. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kilgore, Audrey W can be contacted via phone (904) 579-3515.Contact Information
Primary practice address
2140 Kingsley Ave Ste 2
Orange Park FL 32073-5129
Phone: (904) 579-3515
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1659081818 |
|---|---|
| LBN Legal business name | Kilgore, Audrey W |
| Credentials | BS, TCM, MMHC, CCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2022 |
| Last updated | Jun 3rd, 2023 - about 3 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.
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