Individual
DR. DERMOT NICHOLAS KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-2075
(757) 953-0832
Mailing address
2112 SOUNDINGS CRESCENT CT, SUFFOLK, VA 23435-3737
(757) 953-2075
(757) 953-0832
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
008344
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008344
LICENSE
ME
Enumeration date
11/29/2006
Last updated
11/02/2009
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