Timothy Kilgore Jr.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6451022908 Issued in MI

Practice address

126 N Bridge St
Linden, MI 48451-8623

Phone

(810) 458-4718

NPI assigned

May 3, 2024

Last updated

May 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1497502785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6621 KINGS POINTE RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398798",
            "telephone_number": "810-874-5879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 N BRIDGE ST",
            "city": "LINDEN",
            "state": "MI",
            "postal_code": "484518623",
            "telephone_number": "810-458-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "TIMOTHY",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-05-03",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6451022908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Ann Johns, LMT, PTA, CDP
• Nancy Jones, MSPT
• Michael Alan Kaines, DDS
• Andrew J Kalafatis, PTA
• Patricia Marie Karnowski
• Gary R King, MD
• Heather A. Kirkpatrick, PH.D.
• Kelly Kish-Landaal, MS CCC-SLP
• Wendy Michele Koontz-Beatty, RPH
• Jeanette Kurnik

• Counselor in Linden, MI
• Providers in Linden, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.