Most Relevant Information
Provider Data
NPI Number: | 1003458217 |
Provider Name: | ROBERT KILGORE MFT |
Entity Type: | Individual |
Taxonomy Code: | 106H00000X |
Specialty: | Marriage & Family Therapist |
License Number: | 49548 |
Most Important Dates
Enumeration Date: | 10/09/2019 |
Last Updated: | 06/05/2024 |
Provider Practice Location
1619 N LA BREA AVE
HOLLYWOOD
CA
900286474
Practice Location Phone/Fax
Phone: | 3238192452 |
Fax: |
Provider Mailing Location
1619 N LA BREA AVE
UNIT 331
HOLLYWOOD
CA
900283984
Provider Mailing Phone/Fax
Phone: | 3238192452 |
Fax: |