Individual
DR. KIMBERLY ANN KILBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MPH
Contact information
Practice address
632 BROADWAY PH, NEW YORK, NY 10012-2614
(347) 943-8131
Mailing address
632 BROADWAY PH, NEW YORK, NY 10012-2614
(347) 943-8131
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
238750
NY
2083P0901X
Public Health & General Preventive Medicine Physician
238750
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02911484
—
NY
Enumeration date
12/29/2006
Last updated
09/07/2023
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