Individual
THOMAS EDWARD KILLEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9770 SOUTH MCCARRAN BLVD., RENO, NV 89523
(775) 322-4589
(775) 322-3787
Mailing address
9770 SOUTH MCCARRAN BLVD., RENO, NV 89523
(775) 322-4589
(775) 322-3787
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12685
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G03369
—
NV
Enumeration date
08/30/2006
Last updated
11/04/2011
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