Individual
GABRIEL ELIJAH KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
1000 W 10TH ST, ROLLA, MO 65401-2905
(573) 458-7298
Mailing address
10100 HOLT RD, NEWBURG, MO 65550-8700
(573) 612-4034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2024024076
MO
Other
Enumeration date
08/08/2025
Last updated
08/08/2025
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