Individual
MR. BRIAN MICHAEL KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
621 HICKORY ST, SAINT HENRY, OH 45883-9453
(419) 953-6281
Mailing address
621 HICKORY ST, SAINT HENRY, OH 45883-9453
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.002194
OH
Other
Enumeration date
08/04/2013
Last updated
08/04/2013
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