Kilgore, Mathew David

Kilgore, Mathew David is an sole proprietor health care provider with primary practice located at 33 Sugarmills Cir , Fairport NY 14450-8761. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is his primary health care specialty. Kilgore, Mathew David can be contacted via phone (585) 694-0075.

Contact Information

Primary practice address
33 Sugarmills Cir Fairport NY 14450-8761
Phone: (585) 694-0075
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X R-0441631 New York
Behavioral Health & Social Service Providers / School 1041S0200X R-0441631 New York

Profile Details

NPI number 1265716591
LBN Legal business name Kilgore, Mathew David
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 5th, 2011
Last updated Oct 5th, 2011 - about 14 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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