Individual
BARBARA A. KILKENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.P.M.
Contact information
Practice address
2 POMPERAUG OFFICE PARK, SUITE 106, SOUTHBURY, CT 06488-2288
(203) 264-0800
(203) 264-2657
Mailing address
2 POMPERAUG OFFICE PARK, SUITE 106, SOUTHBURY, CT 06488-2288
(203) 264-0800
(203) 264-2657
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
CT000528
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004100450
—
CT
01
—
004250106
CT MEDICAL ASSISTANCE PRO
CT
01
—
030000528CT05
ANTHEM BC/BS
CO
01
—
061390153
CIGNA
CT
01
—
2V4886
HEALTHNET
—
01
—
5342810001
DEMERC REGION A
CO
01
—
606567
AETNA HEALTH PLAN
—
01
—
790153
CONNECTICARE
CO
01
—
P00146982
RAILROAD MEDICARE
—
01
—
P3239125
OXFORD
CT
Enumeration date
09/16/2005
Last updated
12/29/2023
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