Kilgore, Harold
Kilgore, Harold is an sole proprietor health care provider with primary practice located at 3734 E Longhorn St , Queen Creek AZ 85140-4303. He recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as his primary health care specialty. Kilgore, Harold can be contacted via phone (602) 321-4154.Contact Information
Primary practice address
3734 E Longhorn St
Queen Creek AZ 85140-4303
Phone: (602) 321-4154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | 7470789 | Arizona |
Profile Details
| NPI number | 1972163293 |
|---|---|
| LBN Legal business name | Kilgore, Harold |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2019 |
| Last updated | Jun 18th, 2019 - about 6 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 | 1972163293 | NPPES |
| Arizona | Other | 7470789 | AZ DEPT OF HEALTH SERVICES |
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