Kilgas, Jennifer Amy

Kilgas, Jennifer Amy is an individual health care provider with primary practice located at Trac Rehab East 4403 Iroguois Ave, Erie PA 16511. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Kilgas, Jennifer Amy can be contacted via phone (814) 877-7078.

Contact Information

Primary practice address
Trac Rehab East 4403 Iroguois Ave Erie PA 16511
Phone: (814) 877-7078
Fax: (814) 899-5484
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT015045 Pennsylvania

Profile Details

NPI number 1700884632
LBN Legal business name Kilgas, Jennifer Amy
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 8th, 2007 - about 17 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 1700884632 NPPES
Pennsylvania MEDICAID 1011160210001

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