Organization
MARK R. KILLMAN, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK RAY KILLMAN M.D. (PHYSICIAN, PRESIDENT)
(816) 254-9595
Entity
Organization
Contact information
Practice address
19550 E 39TH ST S, SUITE 415, INDEPENDENCE, MO 64057-2303
(816) 254-9595
(816) 836-3810
Mailing address
19550 E 39TH ST S, SUITE 415, INDEPENDENCE, MO 64057-2303
(816) 254-9595
(816) 836-3810
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
107716
MO
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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