| Katherine M Kilgore Phd Inc | |
|
13405 Folsom Blvd Suite 220 Folsom CA 95630-4738 | |
| (916) 357-5999 | |
| Not Available |
| Full Name | Katherine M Kilgore Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 13405 Folsom Blvd, Folsom, California |
| Authorized Official Name and Position | Katherine Kilgore (OWNER) |
| Authorized Official Contact | 9164585505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine M Kilgore Phd Inc 13405 Folsom Blvd Suite 220 Folsom CA 95630-4738 Ph: (916) 357-5999 | Katherine M Kilgore Phd Inc 13405 Folsom Blvd Suite 220 Folsom CA 95630-4738 Ph: (916) 357-5999 |
| NPI Number | 1770765794 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 11/18/2021 |
| Certification Date | 11/18/2021 |
| Medicare PECOS PAC ID | 7911990957 |
|---|---|
| Medicare Enrollment ID | O20040406000909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770765794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY 14094 (California) | Primary |
| Provider Name | Katherine Morgan Kilgore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932210481 PECOS PAC ID: 6507859626 Enrollment ID: I20040405001846 |
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