Provider Demographics
NPI:1093057887
Name:KILPATRICK, ROBERT W (BS, PT)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:W
Last Name:KILPATRICK
Suffix:
Gender:M
Credentials:BS, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:36 14TH AVE NE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-2580
Mailing Address - Country:US
Mailing Address - Phone:828-345-6468
Mailing Address - Fax:828-345-1468
Practice Address - Street 1:36 14TH AVE NE
Practice Address - Street 2:SUITE 103
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-2580
Practice Address - Country:US
Practice Address - Phone:828-345-6468
Practice Address - Fax:828-345-1468
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCP1168225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist