Individual
RAQUEL E KILLOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-3012
Mailing address
44201 DEQUINDRE RD, TROY, MI 48085-1117
(248) 964-3012
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4704209110
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4178761
—
MI
Enumeration date
10/02/2006
Last updated
04/30/2017
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