Kilroy, Jeffrey C

Kilroy, Jeffrey C is an individual health care provider with primary practice located at 21 Highland Ave Suite 2, Newburyport MA 01950-3872. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Kilroy, Jeffrey C can be contacted via phone (978) 463-7770.

Contact Information

Primary practice address
21 Highland Ave Suite 2 Newburyport MA 01950-3872
Phone: (978) 463-7770
Fax: (978) 462-0220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN275429 Massachusetts

Profile Details

NPI number 1346575289
LBN Legal business name Kilroy, Jeffrey C
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2009
Last updated Jun 27th, 2014 - about 10 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 1346575289 NPPES
Massachusetts MEDICAID 110072703A

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