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NPI Code Detail

MEDICARE: LAURIE A. KILKENNY M.D.

MEDICARE:   LAURIE A. KILKENNY  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RP1001XPulmonary Disease PhysicianMD072425PA
2174400000XSpecialistMD072425PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
156-2589074OTHERPADEVON
25547135OTHERPACIGNA
356-2589074OTHERPAINTERGROUP
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
51411895OTHERPAHIGHMARK
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7317410OTHERPAUPMC
856-2589074OTHERPAHEALTH AMERICA
956-2589074OTHERPAUNITED HEALTHCARE

General Provider Information

NPI Number : 1497738496
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURIE A. KILKENNY M.D.
Provider Business Mailing Address
First Line : 1000 BOWER HILL ROAD
Second Line : ST CLAIR HOSPITAL - AFFILIATE BILLING - PAMALYN
City : PITTSBURGH
State : PA
Zip : 15243-1873
Country : US
Telephone Number : 412-924-2548
Fax Number : 412-232-8215
Provider Business Practice Location Address
First Line : 1145 BOWER HILL RD STE 105
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1346
Country : US
Telephone Number : 412-572-6194
Fax Number : 412-572-6195
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2005
Last Update Date : 03/04/2021

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Directions to “ LAURIE A. KILKENNY M.D.” Practice Location

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