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:
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Health care specialties

SpecialtyCodeLicense #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 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447559919 NPPES
Virginia MEDICAID 601048159

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