Provider Demographics
NPI:1932268976
Name:KILKER, RICHARD D JR (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:D
Last Name:KILKER
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:1450 TREAT BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94597-2168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:87 FENTON ST
Practice Address - Street 2:SUITE 210
Practice Address - City:LIVERMORE
Practice Address - State:CA
Practice Address - Zip Code:94550-4100
Practice Address - Country:US
Practice Address - Phone:925-373-0337
Practice Address - Fax:925-373-0257
Is Sole Proprietor?:No
Enumeration Date:2006-12-06
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC52520207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI34008100Medicaid
H22055Medicare UPIN
WI54176 0223Medicare ID - Type Unspecified