Individual
SEAN M KILLORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4301 S PINE ST, STE 301, TACOMA, WA 98409-7264
(253) 476-6500
Mailing address
6805 OLD BRIDGESITE RD, CASTLE HAYNE, NC 28429-5046
(505) 946-8401
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD00011465
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1056225
—
WA
Enumeration date
02/12/2007
Last updated
03/10/2010
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