Provider Demographics
NPI:1457466351
Name:KILHENNY, PATRICK FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:FRANCIS
Last Name:KILHENNY
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 1:1012 FIRST COLONIAL RD
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23454-3072
Mailing Address - Country:US
Mailing Address - Phone:757-227-4323
Mailing Address - Fax:757-481-7743
Practice Address - Street 1:1012 FIRST COLONIAL RD
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23454-3072
Practice Address - Country:US
Practice Address - Phone:757-227-4323
Practice Address - Fax:757-481-7743
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2017-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010457852084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA007116322Medicaid
VA007116331Medicaid
VA007116331Medicaid
130000822Medicare PIN
130000822Medicare PIN