Individual
DR. MARY T KILLACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4320 HOUMA BLVD, METAIRIE, LA 70006-2961
(504) 988-5344
Mailing address
1430 TULANE AVE # 2682, NEW ORLEANS, LA 70112-2632
(504) 988-2317
(504) 988-7510
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
Primary
MD.201122
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101398841
—
PA
05
—
1455172
—
LA
Enumeration date
03/27/2006
Last updated
02/28/2025
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