Individual
KRISTEN ALLCORN KILLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 N OLD WILDERNESS RD, NIXA, MO 65714-9490
(417) 269-2227
(417) 269-2235
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2019009694
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200033519
—
MO
Enumeration date
06/13/2016
Last updated
09/12/2022
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