Individual
MRS. MICHELLE RENEE KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
3505 S REED RD, KOKOMO, IN 46902-3838
(765) 453-8666
Mailing address
3079 N STATE ROAD 75, CAMDEN, IN 46917-9309
(765) 430-7658
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
28224359A
IN
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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