Organization
BARBARA A. KILKENNY, DPM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A KILKENNY DPM (PRESIDENT)
(203) 264-0800
Entity
Organization
Contact information
Practice address
2 POMPERAUG OFFICE PARK, SUITE 106, SOUTHBURY, CT 06488-2288
(203) 264-0800
Mailing address
2 POMPERAUG OFFICE PARK, SUITE 106, SOUTHBURY, CT 06488-2288
(203) 264-0800
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
000528
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004100450
—
CT
01
—
004250106
CONNECTICUT MEDICAL ASSIS
CO
01
—
DC0856
RAILROAD MEDICARE
CO
Enumeration date
11/02/2005
Last updated
07/22/2008
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