Kilgore, Adelma Ansley
Kilgore, Adelma Ansley is an individual health care provider with primary practice located at 1835 Gilmore Ave , Lakeland FL 33805-3017. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kilgore, Adelma Ansley can be contacted via phone (863) 519-0575.Contact Information
Primary practice address
1835 Gilmore Ave
Lakeland FL 33805-3017
Phone: (863) 519-0575
Fax: (863) 582-9251
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C000609 | North Carolina |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW8472 | Florida |
Profile Details
NPI number | 1063424703 |
---|---|
LBN Legal business name | Kilgore, Adelma Ansley |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 12th, 2006 |
Last updated | May 4th, 2016 - about 8 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 | 1063424703 | NPPES |
Florida | MEDICAID | 768097000 |
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