Provider Demographics
NPI:1245690551
Name:KILPATRICK, DUSTIN RICHARD (DO)
Entity type:Individual
Prefix:DR
First Name:DUSTIN
Middle Name:RICHARD
Last Name:KILPATRICK
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:1208 HICKORY BLVD SW STE 102
Mailing Address - Street 2:
Mailing Address - City:LENOIR
Mailing Address - State:NC
Mailing Address - Zip Code:28645-6461
Mailing Address - Country:US
Mailing Address - Phone:828-580-7048
Mailing Address - Fax:828-580-3985
Practice Address - Street 1:1208 HICKORY BLVD SW STE 102
Practice Address - Street 2:
Practice Address - City:LENOIR
Practice Address - State:NC
Practice Address - Zip Code:28645-6461
Practice Address - Country:US
Practice Address - Phone:828-580-7048
Practice Address - Fax:828-580-3985
Is Sole Proprietor?:No
Enumeration Date:2016-02-29
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2019-01207207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology