Individual
KEVIN KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
205 N EAST AVE, JACKSON, MI 49201-1753
(517) 205-4800
Mailing address
205 N EAST AVE, JACKSON, MI 49201-1753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
5101026954
MI
207PS0010X
Sports Medicine (Emergency Medicine) Physician
34.017130
OH
390200000X
Student in an Organized Health Care Education/Training Program
34.017130
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/28/2020
Last updated
04/25/2024
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