Kilbourn Gordon III, MD
General Practice in Groton, Connecticut
1952455693- Practice location
- 220 Route 12, Groton, CT 06340-3414
- Phone
- 860-650-3848
- Fax
- —
- Last updated
- March 14, 2025
Kilbourn Gordon is a General Practice based in Groton, CT. Kilbourn Gordon practices in Groton, CT and has the professional credentials of MD. The NPI Number for Kilbourn Gordon is 1952455693 and holds a License No. 038689 (CT). The current practice location address for Kilbourn Gordon is 220 Route 12, Groton, CT 06340-3414 and can be reached out via phone at 860-650-3848.
Provider Profile Details
- NPI Number
- 1952455693
- Provider Name
- Kilbourn Gordon
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 220 Route 12, Groton, CT 06340-3414
- Phone Number
- 860-650-3848
- Primary Taxonomy
- General Practice · 208D00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 22, 2007
- Last Update Date
- March 14, 2025
- Certification Date
- March 11, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 220 Route 12
Groton, CT 06340-3414 - City
- Groton
- State
- Connecticut
- Zip
- 06340-3414
- Phone Number
- 860-650-3848
Provider Business Mailing Address Details
- Address
- 220 Route 12
Groton, CT 06340-3414 - City
- Groton
- State
- CT
- Zip
- 06340-3414
- Phone Number
- 860-650-3848
License Information
- License Number (1)
- 038689
- License State (1)
- CT
- Taxonomy (1)
- Emergency Medicine · 207P00000X
- License Number (2)
- 038689
- License State (2)
- CT
- Taxonomy (2)
- General Practice · 208D00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kilbourn Gordon III, MD?
The NPI number of Kilbourn Gordon III, MD is 1952455693. It was assigned on January 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Kilbourn Gordon III, MD?
Kilbourn Gordon III, MD is registered under the primary taxonomy General Practice (code 208D00000X), licensed in CT under license number 038689.
Where does Kilbourn Gordon III, MD practice?
The practice location is 220 Route 12, Groton, CT 06340-3414. The office can be reached at 860-650-3848 (phone).
What is an NPI number?
A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1952455693 directly on the NPPES registry website.