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NPI Code Detail

MEDICARE: DR. KATE EWING KILBOURN M.D.

MEDICARE:  DR. KATE EWING KILBOURN  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
1207Q00000XFamily Medicine Physician268320MA
2207Q00000XFamily Medicine Physician302374-01NY

General Provider Information

NPI Number : 1952643587
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATE EWING KILBOURN M.D.
Provider Business Mailing Address
First Line : 800 RED MILLS RD
Second Line :
City : WALLKILL
State : NY
Zip : 12589-3220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 800 RED MILLS RD
Second Line :
City : WALLKILL
State : NY
Zip : 12589-3220
Country : US
Telephone Number : 845-744-9105
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/21/2013
Last Update Date : 12/19/2025

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Directions to “ DR. KATE EWING KILBOURN M.D.” Practice Location

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