Provider Demographics
NPI:1992979140
Name:KILPATRICK, HUGH (PH)
Entity type:Individual
Prefix:MR
First Name:HUGH
Middle Name:
Last Name:KILPATRICK
Suffix:
Gender:M
Credentials:PH
Other - Prefix:MR
Other - First Name:HUGH
Other - Middle Name:
Other - Last Name:KILPATRICK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PH
Mailing Address - Street 1:6 COOK LN
Mailing Address - Street 2:
Mailing Address - City:NEW PALTZ
Mailing Address - State:NY
Mailing Address - Zip Code:12561-4201
Mailing Address - Country:US
Mailing Address - Phone:845-750-9859
Mailing Address - Fax:845-895-1106
Practice Address - Street 1:6 COOK LN
Practice Address - Street 2:
Practice Address - City:NEW PALTZ
Practice Address - State:NY
Practice Address - Zip Code:12561-4201
Practice Address - Country:US
Practice Address - Phone:845-750-9859
Practice Address - Fax:845-895-1106
Is Sole Proprietor?:No
Enumeration Date:2008-04-18
Last Update Date:2010-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028267183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist