NPI 1194778910

Mark Ray Killman, MD

Practitioner Rehabilitation Practitioner Independence, MO

Practice location

Address: 19550 E 39th St S Suite 415, Independence, MO 64057-2303
Phone: (816) 254-9595
Fax: (816) 836-3810
Mailing address: 14607 Granada St, Leawood, KS 66224-3703

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 107716 (MO)

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Registry record

NPI: 1194778910
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 May 2006
Record last updated: 6 Sep 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.