Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | 59 | NH |
NPI | 1205945227 |
---|---|
Provider Name | Nancy Hayes Kilgore |
First Address | Hanover, NH 03755-1219 |
Second Address | Hanover, NH 03755-1219 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30011150 | (05) | NH |