Organization Name: | V. EUGENE KILMORE, JR., M.D., P.C. |
NPI Number: | 1063418721 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | V EUGENE KILMORE (OWNER/OPHTHALMOLOGIST) |
Mailing Address: | 890 Century Dr Mechanicsburg |
State: | PA US |
Postal Code: | 170554375 |
Phone Number: | 7176971414 |
Fax Number: | 7176974921 |
NPI Enumeration Date: | 06/27/2005 |
NPI Last Update Date: | 03/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QS0132X |
License Number: | MD019118E |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Ophthalmologic Surgery |
Taxonomy Definition: |