Provider Demographics
NPI:1487650990
Name:KILBY, WILLIAM IRVIN (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:IRVIN
Last Name:KILBY
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 1:3302 ALBERT LONG DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-2473
Mailing Address - Country:US
Mailing Address - Phone:540-434-0898
Mailing Address - Fax:540-433-9268
Practice Address - Street 1:3302 ALBERT LONG DR
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-2473
Practice Address - Country:US
Practice Address - Phone:540-434-0898
Practice Address - Fax:540-433-9268
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2012-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010135377208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0112596000OtherWEST VA MEDICAID
VA08120000000OtherSOUTHERN HEALTH
VA28110OtherOPTIMA
VA006775799Medicaid
VA541258300OtherVALLEY CHILDRENS CLINIC
VA700101768OtherCIGNA
VA013346OtherANTHEM
VA28110OtherOPTIMA
VA0112596000OtherWEST VA MEDICAID