Carl Judson Kilgore in Ithaca - Internal Medicine
Carl Judson Kilgore - NPI 1871674762
Carl Judson Kilgore is a Internal Medicine in Ithaca, New York. Carl Judson Kilgore practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Carl Judson Kilgore is 1871674762. The last update date is 2007-07-08.
Carl Judson Kilgore's current location address is 225 Cliff Park Rd, Ithaca, New York. You can contact this provider via phone number 6072723390. The mailing address for Carl Judson Kilgore is 225 Cliff Park Rd, Ithaca, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carl Judson Kilgore |
|---|---|
| Address | 225 Cliff Park Rd, Ithaca, New York |
| Phone Number | 6072723390 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1871674762 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 225 Cliff Park Rd |
|---|---|
| City | Ithaca |
| State | New York (NY) |
| Post Code | 148503148 |
| Phone Number | 6072723390 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 087197-1 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 416817 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Carl Judson Kilgore by the Centers for Medicare & Medicaid Services (CMS)?
The Carl Judson Kilgore has been assigned the NPI (National Provider Identifier) 1871674762. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Carl Judson Kilgore?
The Carl Judson Kilgore is situated at 225 Cliff Park Rd, in the city of Ithaca, state of NY, with the zip code 148503148.
What is the Carl Judson Kilgore's specialty and taxonomy code?
The Carl Judson Kilgore's specialty is Internal Medicine, and the corresponding taxonomy code is 207R00000X.
When did Carl Judson Kilgore receive its 1871674762 assignment?
The Carl Judson Kilgore was assigned its 1871674762 on 2006-10-18, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Carl Judson Kilgore most recently updated or revised?
The details related to Carl Judson Kilgore, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.