| Kimberly M Kilgore Phd | |
|
7441 O St Ste 402 Lincoln NE 68510-2466 | |
| (402) 483-4215 | |
| (844) 537-3574 |
| Full Name | Kimberly M Kilgore Phd |
|---|---|
| Speciality | Psychologist |
| Location | 7441 O St Ste 402, Lincoln, Nebraska |
| Authorized Official Name and Position | Kimberly M Kilgore (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4024834215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly M Kilgore Phd 7441 O St Ste 402 Lincoln NE 68510-2466 Ph: (402) 483-4215 | Kimberly M Kilgore Phd 7441 O St Ste 402 Lincoln NE 68510-2466 Ph: (402) 483-4215 |
| NPI Number | 1225504673 |
|---|---|
| Provider Enumeration Date | 10/23/2018 |
| Last Update Date | 10/25/2018 |
| Medicare PECOS PAC ID | 1052665908 |
|---|---|
| Medicare Enrollment ID | O20181113002457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225504673 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kimberly M Kilgore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801953740 PECOS PAC ID: 2466527320 Enrollment ID: I20080812000860 |
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