| Mr Kyle Erick Kilts, LCSW-R | |
|
15 Cornell Rd, Latham, NY 12110-1491 | |
| (518) 510-3100 | |
| Not Available |
| Full Name | Mr Kyle Erick Kilts |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 15 Cornell Rd, Latham, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063849974 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (New York) | Primary |
| Entity Name | Samaritan Hospital Of Troy, New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kyle Erick Kilts, LCSW-R 15 Cornell Rd, Latham, NY 12110-1491 Ph: (518) 510-3100 | Mr Kyle Erick Kilts, LCSW-R 15 Cornell Rd, Latham, NY 12110-1491 Ph: (518) 510-3100 |
Barry Davis, LCSW-E Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Avis Dr Ste 100, Latham, NY 12110 Phone: 518-560-4277 | |
Mr. Edward William Mccorry, LCSWR, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Stanley Cir, Latham, NY 12110 Phone: 518-786-0663 Fax: 518-786-0917 | |
Ms. Mary Daigneault, LCSW-R Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 596 New Loudon Rd, Latham, NY 12110 Phone: 518-424-6097 Fax: 518-783-4793 | |
Mary F Smith, LCSW-R Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3 Lear Jet Ln, Latham, NY 12110 Phone: 518-785-3614 Fax: 518-785-8786 | |
Mrs. Aimee O'keefe, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15 Brookwood Dr, Latham, NY 12110 Phone: 518-785-4507 | |
Irene Adeline Cirillo, LCSW PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21 British American Blvd., Latham, NY 12110 Phone: 518-386-0869 |