# LARRY S KILBY MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922132620
- **Authorized official:** DR. LARRY S KILBY MD (PRESIDENT)
- **Authorized official phone:** (336) 667-2668

## Contact information

- **Practice address:** 1710 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4016
- **Practice address phone:** (336) 765-6897
- **Practice address fax:** (336) 765-7306
- **Mailing address:** 1208 E ST, N WILKESBORO, NC 28659-4018
- **Mailing address phone:** (336) 667-2668
- **Mailing address fax:** (336) 667-2668

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 15953 | NC | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 09/04/2026