Individual
DEEDY KILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
124A LAKESIDE VILLA BLDG C, DIAMONDHEAD, MS 39525
(228) 355-8700
Mailing address
PO BOX 1316, BILOXI, MS 39533-1316
(228) 355-8700
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R730181
MS
Other
Enumeration date
04/03/2017
Last updated
04/03/2017
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