Individual
KILBOURN GORDON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
220 ROUTE 12, GROTON, CT 06340-3414
(860) 650-3848
Mailing address
220 ROUTE 12, GROTON, CT 06340-3414
(860) 650-3848
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
038689
CT
208D00000X
General Practice Physician
Primary
038689
CT
Other
Enumeration date
01/22/2007
Last updated
03/14/2025
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