Individual
KEITH F. KILLU
Active
Individual
KEITH F. KILLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
C55459
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
476635910
—
MI
01
—
700H262220
BLUE CROSS-BLUE CROSS
—
01
—
KK067945
CHAMPUS-CHAMPUS
—
Enumeration date
12/01/2006
Last updated
11/27/2023
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