Kilbourne, Barry Joseph

Kilbourne, Barry Joseph is an individual health care provider with primary practice located at 309 County Route 47 Suite 1, Saranac Lake NY 12983-5405. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Kilbourne, Barry Joseph can be contacted via phone (518) 891-2688.

Contact Information

Primary practice address
309 County Route 47 Suite 1 Saranac Lake NY 12983-5405
Phone: (518) 891-2688
Fax: (518) 891-4120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 129150 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 129150 New York

Profile Details

NPI number 1619977675
LBN Legal business name Kilbourne, Barry Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2005
Last updated May 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619977675 NPPES
New York Other 50E101 BCBS
New York Other 109016 BCBS
New York Other 1619977675 BCBS
New York Other 50E101 BCBS
New York Other 000401212001 BCBS
New York MEDICAID 00459467 BCBS
New York Other P00000040484 BCBS
New York Other DD2645 BCBS

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