Individual
RICHARD KILLEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3931 INLET LOOP, CHATTANOOGA, TN 37416-3087
(502) 644-0769
Mailing address
3931 INLET LOOP, CHATTANOOGA, TN 37416-3087
(502) 644-0769
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
69106
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2020
Last updated
09/26/2023
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