Individual
DAVID J KILLEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1802 BRAEBURN DR, SALEM, VA 24153-7357
(540) 772-3540
(540) 776-2023
Mailing address
PO BOX 403901, ATLANTA, GA 30384-3901
(816) 701-4101
(866) 298-8944
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
0102201703
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700821436
—
VA
Enumeration date
06/17/2006
Last updated
06/10/2009
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