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NPI Code Detail

MEDICARE: JULIE KILGORE OT

MEDICARE: JULIE KILGORE OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist008219OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205176153
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIE KILGORE OT
Provider Business Mailing Address
First Line : 1879 DEERFIELD RD
Second Line :
City : LEBANON
State : OH
Zip : 45036-8602
Country : US
Telephone Number : 513-695-2900
Fax Number :
Provider Business Practice Location Address
First Line : 1879 DEERFIELD RD
Second Line :
City : LEBANON
State : OH
Zip : 45036-8602
Country : US
Telephone Number : 513-695-2900
Fax Number : 513-755-3762
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2013
Last Update Date : 02/15/2018

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