Individual
JONATHAN KILROY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6 TSIENNETO RD, SUITE 100, DERRY, NH 03038
(603) 537-1300
Mailing address
6 BUTTRICK RD STE 102, LONDONDERRY, NH 03053-3417
(603) 537-1300
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11920
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04YP05263NH01
ANTHEM BCBS
NH
05
—
30222464
—
NH
01
—
3311149
AETNA USHC
NH
01
—
465375
TUFTS
NH
01
—
AA7125
HARVARD
NH
01
—
SX2967
MEDICARE
NH
Enumeration date
01/26/2006
Last updated
08/08/2018
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