MEDICARE: ASHLEY A KILGORE MS, LPCC

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
1	101YM0800X	Mental Health Counselor	C.1800981	OH

General Provider Information

NPI Number	:	1396243986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ASHLEY A KILGORE MS, LPCC

Provider Business Mailing Address
First Line	:	6250 STREAMSIDE DR APT 63
Second Line	:
City	:	BURLINGTON
State	:	KY
Zip	:	41005-9262
Country	:	US
Telephone Number	:	865-387-7762
Fax Number	:

Provider Business Practice Location Address
First Line	:	431 OHIO PIKE STE 189S
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-3375
Country	:	US
Telephone Number	:	513-770-1705
Fax Number	:	513-770-1705

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2018
Last Update Date	:	03/01/2022

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