Provider Demographics
NPI:1881636280
Name:KILPATRICK, KATHRYN (MD)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:KILPATRICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:514 W ATLANTIC ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-1906
Mailing Address - Country:US
Mailing Address - Phone:434-447-6969
Mailing Address - Fax:434-447-2240
Practice Address - Street 1:514 W ATLANTIC ST
Practice Address - Street 2:
Practice Address - City:SOUTH HILL
Practice Address - State:VA
Practice Address - Zip Code:23970-1906
Practice Address - Country:US
Practice Address - Phone:434-447-6969
Practice Address - Fax:434-447-2240
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101042014208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010271401Medicaid
VA10007661OtherOPTIMA
VA196349OtherBCBS #
VA62324OtherCARENET
VA1881636280OtherNPI
VA196348OtherBCBS #
VA3011626OtherCIGNA SOUTH HILL
VA1881636280Medicaid
VA3011626OtherCIGNA
VA010290571Medicaid
VA196323OtherBCBS #
VA010290597Medicaid
VA189043OtherMEDCOST
VA224189800OtherDOL
VA010271401OtherVA PREMIER
VA62363OtherCARENET KENBRIDGE
VA10008404OtherOPTIMA KB
VA89063PEOtherNC MEDICAID
VAVAA102969Medicare PIN
VAVAA102968Medicare PIN
VA10008404OtherOPTIMA KB
VA196323OtherBCBS #
VAE96539Medicare UPIN
VA62324OtherCARENET