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NPI Code Detail

MEDICARE: AMANDA KILGORE

MEDICARE:   AMANDA  KILGORE
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
11041C0700XClinical Social Worker30308MD

General Provider Information

NPI Number : 1457208167
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA KILGORE
Provider Business Mailing Address
First Line : 14 DOWLING CIR APT A1
Second Line :
City : PARKVILLE
State : MD
Zip : 21234-6858
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14 DOWLING CIR APT A1
Second Line :
City : PARKVILLE
State : MD
Zip : 21234-6858
Country : US
Telephone Number : 702-349-7849
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2026
Last Update Date : 03/12/2026

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Directions to “ AMANDA KILGORE ” Practice Location

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