Kilkenny, Thomas Eugene

Kilkenny, Thomas Eugene is an individual health care provider with primary practice located at 1165 S Dora St Suite C1, Ukiah CA 95482-8325. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kilkenny, Thomas Eugene can be contacted via phone (707) 468-0471.

Contact Information

Primary practice address
1165 S Dora St Suite C1 Ukiah CA 95482-8325
Phone: (707) 468-0471
Fax: (707) 468-1182
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X G33772 California

Profile Details

NPI number 1114007093
LBN Legal business name Kilkenny, Thomas Eugene
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Oct 16th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114007093 NPPES
California MEDICAID 00G337720
California Other 200008281

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