Kilgo, Deborah Davis

Kilgo, Deborah Davis is an sole proprietor health care provider with primary practice located at 3302 Woodlands Pl , Vicksburg MS 39180-5758. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Kilgo, Deborah Davis can be contacted via phone (601) 638-2771.

Contact Information

Primary practice address
3302 Woodlands Pl Vicksburg MS 39180-5758
Phone: (601) 638-2771
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X S0762 Mississippi

Profile Details

NPI number 1285810952
LBN Legal business name Kilgo, Deborah Davis
Credentials CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 12th, 2008
Last updated Jan 12th, 2008 - 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 1285810952 NPPES
Mississippi Other S0762 MISS. STATE BOARD OF HEAL
Mississippi Other 01002176 MISS. STATE BOARD OF HEAL

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