Provider Information

Last Updated : Aug 14 2024 4:02 PM

Melanie D Kilcorse




City
Fresno
Group
HEALTH NET DIRECT FFS MEDI-CAL
Specialty
Qualified Autism Svc Provider
Last Name
Kilcorse
First Name
Melanie
Middle Name
D
Address
6177 N Thesta St Ste 103
State
CA
Zip Code
93710
Phone
(855)223-7123
Hours
Sun - Sat 7:00 AM - 8:00 PM
Gender
F
Title
MSW
Physician ID
907482
Language 1
Spanish
Section Number
A
County
FRESNO
Accepting New Patient
Yes
PPG NAME
HEALTH NET DIRECT FFS MEDI-CAL
PPG ID
MHDML
NPI Number
1487024410
Access Requirement
Limited
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
License ID
BCB10186
Email
kjimenez@acesaba.com
Board Certified
No
Self Access Flag
Self Reported Data

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