Kilgore, Marylyn E.

Kilgore, Marylyn E. is an sole proprietor health care provider with primary practice located at 7450 E Montecito Dr , Tucson AZ 85710-4926. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Kilgore, Marylyn E. can be contacted via phone (520) 298-3955.

Contact Information

Primary practice address
7450 E Montecito Dr Tucson AZ 85710-4926
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care, Mental Illness, Child 385HR2055X Arizona

Profile Details

NPI number 1346314598
LBN Legal business name Kilgore, Marylyn E.
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 20th, 2006
Last updated Jul 26th, 2007 - about 19 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 1346314598 NPPES
Arizona MEDICAID 691099

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