Whalio Doctors

NPI 1013082932

Ita M Killeen, MD

Practitioner Family Medicine Physician Bozeman, MT

Practice location

Address
Swingle Student Health Service South 7th Ave Msu, Bozeman, MT 59715-3260
Phone
(406) 994-2311
Mailing address
Swingle Student Health Service South 7th Ave PO Box 173260, Bozeman, MT 59715-3260

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 9565 (MT)

Registry record

NPI
1013082932
Entity type
Individual
Sex (as registered)
Female
NPI issued
24 Nov 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.