Individual
SHELLEY A KILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
222 N 7TH ST, BISMARCK, ND 58501-4436
(701) 323-8030
(701) 323-6366
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
8361
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1452995
—
ND
Enumeration date
11/17/2006
Last updated
06/29/2022
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