Kenneth W. Kilgore, D.P.M.

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

SC004716-L Issued in PA

Practice address

46 Copperfield Cir
Lititz, PA 17543-9482

Phone

(717) 626-7666

Fax

(717) 626-1605

NPI assigned

Jul 15, 2006

Last updated

Jan 17, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kenneth W. Kilgore

  dba Lititz Podiatry

  • Podiatrist
  • Lititz, PA
  • NPI 1033395256
  NPD (past) Authorized official

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1801812292",
    "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": {
        "last_name": "KILGORE",
        "first_name": "KENNETH",
        "middle_name": "W.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC004716-L",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "PA",
            "license": "SC004716-L",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "PA",
            "license": "SC004716-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN FOR HIGHMARK",
            "identifier": "1410834",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN FOR CIGNA",
            "identifier": "0477086001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN FOR WASAU",
            "identifier": "13162415",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN FOR CAP BLUE CROSS",
            "identifier": "50007507",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN FOR MAMSI",
            "identifier": "2102717",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IMPIN FOR UNITEDHEALTHCAR",
            "identifier": "2280961",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Kerper, DO
• Kerri Hample
• Aimee Elizabeth Ketchum, OTR.L, CNMI
• Saima Khalid, M.D.
• Baasma Khan, DO
• Brittany A Kim, CRNA
• Daniel S Kim, DDS MD
• Kimberly a. Lovelock (Kimberly A Lovelock, PsyD.)
• Donald Kirchner, PT
• Megan Elizabeth Kirchner, LAPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.