John Edmund Kilty
MD PHD | Pediatrics | Male
John Edmund Kilty, MD PHD is a Tualatin, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of John Edmund Kilty is
19260 Sw 65th Ave, Ste 340, Tualatin, Oregon - 97062-5701. He can be contacted on phone at
503-691-9777 and fax number 503-692-6736.
John Edmund Kilty is a sole proprietor of his business.
NPI number (Unique professional ID) for John Edmund Kilty is
1437149424 which was assigned by NPPES on 21 Oct, 2005 and it was last updated on 08 Jul, 2007.
John Edmund Kilty license number is
MD20377 for Pediatrics (208000000X) in Oregon.
John Edmund Kilty is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
John Edmund Kilty basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | John Edmund Kilty |
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| Credential : | MD PHD |
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| Gender : | Male |
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Business Address:
John Edmund Kilty address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 19260 Sw 65th Ave, Ste 340
Tualatin, OR, 97062-5701
United States |
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| Phone Number : | 503-691-9777 |
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| Fax Number : | 503-692-6736 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1437149424 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 21 Oct, 2005 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for John Edmund Kilty are as mentioned. Primary taxonomy code for John Edmund Kilty, MD PHD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | MD20377 | OR |
Legacy Identifiers:
Other legacy medical identifiers of John Edmund Kilty such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 133935 | MEDICAID | OR | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 19260 Sw 65th Ave, Ste 340
Tualatin, OR, 97062-5701
United States |
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| Phone Number : | 503-691-9777 |
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| Fax Number : | 503-692-6736 |
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Business Location:
Patients can refer following map for directions to
John Edmund Kilty practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.