Individual
DR. SCOTT M KILLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 BROOKSHIRE LN, BECKLEY, WV 25801-6761
(304) 256-0770
(304) 256-0772
Mailing address
102 BROOKSHIRE LN, BECKLEY, WV 25801-6761
(304) 256-0770
(304) 256-0772
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17037
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0126467000
—
WV
Enumeration date
07/07/2005
Last updated
09/17/2020
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