Larry S Kilby

NPI #1295191104 in Winston Salem, North Carolina

Provider Information

NPI Number: 1295191104
Entity Type: Organization
Organization Name: Larry S Kilby
Primary Specialty: Internal Medicine
Enumeration Date: Jan 7, 2016
Last Updated: Jan 7, 2016

Practice Location

Address: 730 HIGHLAND OAKS DR
City: Winston Salem
State: North Carolina
ZIP Code: 27103-7154
Phone: (336) 765-6897

Authorized Official

Name: MS. KIM REED
Title: OFFICE MANAGER
Phone: (336) 765-6897

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner - Family — Family	363LF0000X
Internal Medicine	207R00000X	Primary

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