Individual
DR. STEPHEN E KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3169 BRAVERTON ST, SUITE 201, EDGEWATER, MD 21037-2679
(410) 956-4911
(410) 956-4935
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6480
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D0029193
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BCBS
—
01
—
145724700
FEDERAL WORKMANS COMP
—
01
—
2108711
AETNA HMO
—
01
—
32789009
BCBS
—
05
—
3418811100
—
MD
01
—
5854249
AETNA PPO
—
01
—
813341
MAMSI
—
01
—
9958
KAISER
—
Enumeration date
08/30/2005
Last updated
04/01/2015
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