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Dr. Nicholas I Kilmer

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NPI Number Detailed Information

Provider Information:

Name: Dr. Nicholas I Kilmer
Gender: M
Provider License Number If Given: 51243

NPI Information:

NPI: 1154316669
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 9/12/2005

Last Update Date: 7/15/2013

Provider Business Mailing Address:

Address: 1425 PORTLAND AVE
Rochester, NY 14621
Phone Number: 5859223220
Fax Number: 5854428319

Provider Business Practice Location Address:

Address: 1425 PORTLAND AVE
Rochester, NY 14621
Phone Number: 5859223220
Fax Number: 5854428319

Provider Taxonomy:

Primary: 207QS0010X
Secondary (if any): 207QS0010X
State: NY

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