National Provider Identifier
Carl Judson Kilgore, MD
Carl Judson Kilgore, MD is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (607) 272-3390.
Profile Overview
- NPI
- 1871674762
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- October 18, 2006
- Last Updated
- July 08, 2007
Practice Location
- 225 Cliff Park RD
- Ithaca, NY 14850-3148
Phone: (607) 272-3390
Specialties
- Internal Medicine Physician (207R00000X)
Full Record
- NPI
- 1871674762
- Entity Type
- Individual
- Last Name
- Kilgore
- First Name
- Carl
- Middle Name
- Judson
- Credential
- MD
- Mailing Street Address
- 225 Cliff Park RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3148
- Mailing Country
- US
- Mailing Phone
- (607) 272-3390
- Practice Street Address
- 225 Cliff Park RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-3148
- Practice Country
- US
- Practice Phone
- (607) 272-3390
- Enumeration Date
- October 18, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X)
- Other Identifiers
- 00416817 (NY)