Provider Demographics
NPI:1992914584
Name:KILFOIL, TERRENCE MARTIN (DO)
Entity type:Individual
Prefix:DR
First Name:TERRENCE
Middle Name:MARTIN
Last Name:KILFOIL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 ROWELL RD
Mailing Address - Street 2:
Mailing Address - City:QUANTICO
Mailing Address - State:VA
Mailing Address - Zip Code:22134-5128
Mailing Address - Country:US
Mailing Address - Phone:571-494-4510
Mailing Address - Fax:
Practice Address - Street 1:2100 ROWELL RD
Practice Address - Street 2:
Practice Address - City:QUANTICO
Practice Address - State:VA
Practice Address - Zip Code:22134-5128
Practice Address - Country:US
Practice Address - Phone:571-494-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-21
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0102201905208D00000X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice