Kilgore, Heath

Kilgore, Heath is an individual health care provider with primary practice located at 1424 S 7Th Ave Bldg C , Phoenix AZ 85007-5902. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Kilgore, Heath can be contacted via phone (602) 258-3600.

Contact Information

Primary practice address
1424 S 7Th Ave Bldg C Phoenix AZ 85007-5902
Phone: (602) 258-3600
Fax: (602) 256-0514
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 3781 Arizona
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 3781 Arizona
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3781 Arizona
Behavioral Health & Social Service Providers / Counseling 103TC1900X 3781 Arizona

Profile Details

NPI number 1447294947
LBN Legal business name Kilgore, Heath
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Apr 14th, 2008 - about 16 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 1447294947 NPPES
Arizona MEDICAID 100234

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