Most Relevant Information
Provider Data
| NPI Number: | 1003230095 |
| Provider Name: | DARREN KILGORE |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/11/2014 |
| Last Updated: | 02/11/2014 |
Provider Practice Location
269 WALKER ST
538
DETROIT
MI
482074258
Practice Location Phone/Fax
| Phone: | 3136100134 |
| Fax: |
Provider Mailing Location
269 WALKER ST
538
DETROIT
MI
482074258
Provider Mailing Phone/Fax
| Phone: | 3136100134 |
| Fax: |