Provider Demographics
NPI:1467057257
Name:KINGERY, HILARY ELIZABETH
Entity Type:Individual
Prefix:
First Name:HILARY
Middle Name:ELIZABETH
Last Name:KINGERY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17604 PASTURE RD
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:FL
Mailing Address - Zip Code:33556-1819
Mailing Address - Country:US
Mailing Address - Phone:813-598-9699
Mailing Address - Fax:
Practice Address - Street 1:17604 PASTURE RD
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:FL
Practice Address - Zip Code:33556-1819
Practice Address - Country:US
Practice Address - Phone:813-598-9699
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst