Provider Demographics
NPI:1881636280
Name:KILPATRICK, KATHRYN (MD)
Entity type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:KILPATRICK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 87
Mailing Address - Street 2:
Mailing Address - City:SOUTH HILL
Mailing Address - State:VA
Mailing Address - Zip Code:23970-0087
Mailing Address - Country:US
Mailing Address - Phone:434-949-7211
Mailing Address - Fax:
Practice Address - Street 1:8380 BOYDTON PLANK RD
Practice Address - Street 2:
Practice Address - City:ALBERTA
Practice Address - State:VA
Practice Address - Zip Code:23821-2851
Practice Address - Country:US
Practice Address - Phone:434-949-7211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101042014208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA10008404OtherOPTIMA KB
VA3011626OtherCIGNA SOUTH HILL
VA62363OtherCARENET KENBRIDGE
VA010271401Medicaid
VA010290571Medicaid
VA196323OtherBCBS #
VA224189800OtherDOL
VA62324OtherCARENET
VA189043OtherMEDCOST
VA1881636280Medicaid
VA196348OtherBCBS #
VA196349OtherBCBS #
VA89063PEOtherNC MEDICAID
VA010271401OtherVA PREMIER
VA010290597Medicaid
VA1881636280OtherNPI
VA10007661OtherOPTIMA
VA3011626OtherCIGNA
VAVAA102969Medicare PIN
VAVAA102968Medicare PIN
VA10008404OtherOPTIMA KB
VA196323OtherBCBS #
VAE96539Medicare UPIN
VA62324OtherCARENET