Healthcare Provider Details

I. General information

NPI: 1467411934
Provider Name (Legal Business Name): TIMOTHY J KILKENNY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2006
Last Update Date: 03/01/2021
Certification Date: 03/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2600 SIXTH ST SW
CANTON OH
44710-1702
US

IV. Provider business mailing address

1 PERKINS SQ
AKRON OH
44308-1063
US

V. Phone/Fax

Practice location:
  • Phone: 330-438-7430
  • Fax: 330-580-5542
Mailing address:
  • Phone: 330-438-7430
  • Fax: 330-580-5542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number35071572
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: