Individual
KATHRYN P KILLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
(615) 327-4304
Mailing address
110 29TH AVE N, STE 202, NASHVILLE, TN 37203-1401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
015222
TN
207L00000X
Anesthesiology Physician
Primary
15222
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053758
BCBS NUMBER
TN
05
—
009913755
—
AL
05
—
200262150
—
IN
05
—
2358363
—
OH
05
—
3004027
—
TN
05
—
5713978
—
VA
05
—
64774151
—
KY
Enumeration date
06/30/2005
Last updated
08/19/2008
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