Individual
KIRK W KILBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1791 HIGHWAY 64 E, ANAMOSA, IA 52205-2112
(319) 462-3571
(319) 462-4043
Mailing address
1791 HIGHWAY 64 E, ANAMOSA, IA 52205-2112
(319) 462-3571
(319) 462-4043
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30738
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080116660
RR MEDICARE
IA
05
—
1578541116
—
IA
05
—
4111625
—
IA
Enumeration date
01/04/2006
Last updated
05/17/2012
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