Individual
DR. KENT L KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16555 MANCHESTER RD, SUITE 201, WILDWOOD, MO 63040-1220
(636) 458-5858
Mailing address
16555 MANCHESTER RD, SUITE 201, WILDWOOD, MO 63040-1220
(636) 458-5858
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
R6P03
MO
Other
Enumeration date
02/27/2006
Last updated
02/15/2012
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