Individual
DR. BRIAN N KILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
220 FORTDALE RD, GREENVILLE, AL 36037-1502
(334) 382-1400
Mailing address
220 FORTDALE RD, GREENVILLE, AL 35037-1502
(334) 382-1400
(334) 383-0661
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
264
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051003390
BC MONTGOMERY OFFICE
AL
01
—
051116094
BCBS
AL
01
—
051531789
BC SEVERAL LOCATIONS
AL
01
—
051532379
BC ORCHARD HEALTHCARE
AL
05
—
128457
—
AL
05
—
890014950
—
AL
05
—
890014980
—
AL
05
—
890015080
—
AL
05
—
890015100
—
AL
05
—
890015109
—
AL
05
—
890015810
—
AL
Enumeration date
06/28/2006
Last updated
11/28/2011
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