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Organization
MARK R. KILLMAN, M.D. P.C.
Active
Organization
MARK R. KILLMAN, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RAY KILLMAN M.D. (PHYSICIAN, PRESIDENT)
(816) 254-9595
Entity
Organization
Contact information
Practice address
19550 E 39TH ST S, SUITE 415, INDEPENDENCE, MO 64057-2303
(816) 254-9595
(816) 836-3810
Mailing address
19550 E 39TH ST S, SUITE 415, INDEPENDENCE, MO 64057-2303
(816) 254-9595
(816) 836-3810
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
107716
MO
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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