Individual
RANDY KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRT
Contact information
Practice address
2106 E. MAIN ST, MOUNTAIN VIEW, AR 72560
(870) 269-7444
Mailing address
PO BOX 510, MOUNTAIN VIEW, AR 72560
(870) 269-7444
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
1936
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1936
LICENSED RESPIRATORY CARE
AR
Enumeration date
02/23/2007
Last updated
07/08/2007
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