Provider Demographics
NPI:1386636363
Name:KILMORE, JR., V. EUGENE (MD)
Entity Type:Individual
Prefix:DR
First Name:V. EUGENE
Middle Name:
Last Name:KILMORE, JR.
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:890 CENTURY DR
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-4375
Mailing Address - Country:US
Mailing Address - Phone:717-697-1414
Mailing Address - Fax:717-697-4921
Practice Address - Street 1:890 CENTURY DR
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-4375
Practice Address - Country:US
Practice Address - Phone:717-697-1414
Practice Address - Fax:717-697-4921
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2016-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD019118E207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA990388OtherKEYSTONE
PA232175708OtherOTHER
PA5798509OtherAETNA PPO
PA727679OtherBLUE SHIELD
PAC27885OtherHEALTH AMERICA
PA392326OtherNVA
PA02286000OtherCAPITAL BLUE CROSS
PA139255OtherTHREE RIVERS MEDPLUS
PA78848OtherAETNA HMO
PA20020023OtherAMERIHEALTH MERCY
PACF0050OtherRAILROAD MEDICARE
PA02286000OtherCAPITAL BLUE CROSS
PA20020023OtherAMERIHEALTH MERCY
PA78848OtherAETNA HMO