Individual
DR. BRENDAN DYER KILLORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SEYMOUR ST, SUITE 709, HARTFORD, CT 06106-5501
(860) 696-2290
(860) 696-2280
Mailing address
85 SEYMOUR ST, SUITE 709, HARTFORD, CT 06106-5501
(860) 696-2290
(860) 696-2280
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
049554
CT
207T00000X
Neurological Surgery Physician
80789
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049554
CONNECTICARE
CT
05
—
1043490097
—
CT
01
—
7432716
GREAT WEST HEALTHCARE
CT
01
—
80789
TRAINING PERMIT
AZ
01
—
P4362821
OXFORD
CT
Enumeration date
11/07/2007
Last updated
12/12/2011
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