Individual
SAMUEL SHELTON KILLION
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
915 N GRAND BLVD, SAINT LOUIS, MO 63106-1621
(314) 652-4100
Mailing address
PO BOX 415000, NASHVILLE, TN 37241-5000
(636) 200-4393
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
046.011788
IL
152W00000X
Optometrist
Primary
2022022991
MO
Other
Enumeration date
06/28/2022
Last updated
03/22/2024
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