Provider Demographics
NPI:1295263820
Name:KILMARNOCK ORTHOPAEDICS, INC.
Entity type:Organization
Organization Name:KILMARNOCK ORTHOPAEDICS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRES
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:AUSTIN
Authorized Official - Last Name:MCCOIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-960-1000
Mailing Address - Street 1:141 WHALEY WAY
Mailing Address - Street 2:
Mailing Address - City:WHITE STONE
Mailing Address - State:VA
Mailing Address - Zip Code:22578-2029
Mailing Address - Country:US
Mailing Address - Phone:540-960-1000
Mailing Address - Fax:
Practice Address - Street 1:95 HARRIS RD BLDG 4
Practice Address - Street 2:
Practice Address - City:KILMARNOCK
Practice Address - State:VA
Practice Address - Zip Code:22482-3845
Practice Address - Country:US
Practice Address - Phone:540-960-1000
Practice Address - Fax:540-960-1000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-26
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty