NPI 1720609209
Angel Kilgore
Practice location
- Address
- 2408 Susannah St, Johnson City, TN 37601-1732
- Phone
- (423) 434-6677
- Fax
- (423) 461-0000
Registered specialties
Peer Specialist
Primary
Registry record
- NPI
- 1720609209
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 May 2020
- Record last updated
- 6 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.