Individual
MALLORY KILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-2000
Mailing address
929 AMSTERDAM AVE APT 3R, NEW YORK, NY 10025-3605
(502) 314-3802
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR26708700
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ15411600
NJ
Other
Enumeration date
04/29/2025
Last updated
09/02/2025
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