Kilgore, Angel

Kilgore, Angel is an sole proprietor health care provider with primary practice located at 2408 Susannah St , Johnson City TN 37601-1732. She recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as her primary health care specialty. Kilgore, Angel can be contacted via phone (423) 434-6677.

Contact Information

Primary practice address
2408 Susannah St Johnson City TN 37601-1732
Phone: (423) 434-6677
Fax: (423) 461-0000
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1720609209
LBN Legal business name Kilgore, Angel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2020
Last updated May 6th, 2020 - about 5 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.

Request for update

Popular Providers