Kilby Pediatrics, LLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

0101019886 Issued in VA

Legal business name

KILBY PEDIATRICS, LLC

Practice address

191 Sharp Rock Rd
Sperryville, VA 22740-2346

Phone

(540) 987-9508

Fax

(540) 987-9508

NPI assigned

Nov 7, 2013

Last updated

Nov 7, 2013By 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

Walter B. Kilby, M.D.

Title

President

Phone

(540) 987-9508

Specialties & licenses 1

Addresses

Other identifiers 2

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8024/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1700215043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SHARP ROCK RD",
            "city": "SPERRYVILLE",
            "state": "VA",
            "postal_code": "227402346",
            "telephone_number": "540-987-9508",
            "fax_number": "540-987-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 SHARP ROCK RD",
            "city": "SPERRYVILLE",
            "state": "VA",
            "postal_code": "227402346",
            "telephone_number": "540-987-9508",
            "fax_number": "540-987-9508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KILBY PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "KILBY",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-987-9508",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101019886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "0101019886",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6715796",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Adolfi, LCSW
• Karen Dorr, RN
• Olivia Griffith Kelly
• Ann E Lloyd, PHARM.D.
• Pamela Richards, LCSW
• Solid Ground Holistic Therapy, LLC
• Truwell Integrative Medicine

• Pediatrics Physician in Sperryville, VA
• Providers in Sperryville, VA by specialty
• Pediatrics Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.