Individual
TERENCE KILROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14601 DETROIT AVE, SUITE 650, LAKEWOOD, OH 44107
(216) 228-1700
(216) 228-6275
Mailing address
PO BOX 771103, LAKEWOOD, OH 44107-0047
(216) 472-2730
(216) 472-2740
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
35046110K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0589117
—
OH
01
—
10826749
CAQH
—
Enumeration date
02/23/2006
Last updated
02/15/2013
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