Kenneth W. Kilgore

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC004716L Issued in PA

Legal business name

KENNETH W. KILGORE

Doing business as

Lititz Podiatry

Practice address

46 Copperfield Cir
Lititz, PA 17543-9482

Phone

(717) 626-7666

Fax

(717) 626-1605

NPI assigned

Jan 17, 2008

Last updated

Jun 16, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kenneth W. Kilgore, D.P.M.NPI 1801812292

Title

Owner/ Physician

Phone

(717) 626-7666

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Lititz Podiatry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kenneth W. Kilgore, D.P.M.

  • Foot Surgery Podiatrist
  • Lititz, PA
  • NPI 1801812292
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1033395256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 COPPERFIELD CIR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439482",
            "telephone_number": "717-626-7666",
            "fax_number": "717-626-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 COPPERFIELD CIR",
            "city": "LITITZ",
            "state": "PA",
            "postal_code": "175439482",
            "telephone_number": "717-626-7666",
            "fax_number": "717-626-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH W. KILGORE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "717-626-7666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004716L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "50007504",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lititz Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Simran Kaur, DO
• Christian Kegel
• Andrea Keith, L.M.T.
• Kimberly Joyce Kelly, AU.D.
• Katelyn Marie Kenderdine, AU.D.
• Matthew Kerper, DO
• Kerri Hample
• Aimee Elizabeth Ketchum, OTR.L, CNMI
• Saima Khalid, M.D.
• Baasma Khan, DO

• Podiatrist in Lititz, PA
• Providers in Lititz, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.