Individual
AMY B. KILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12340 S 450 E, DRAPER, UT 84020-8154
(801) 501-9797
(801) 501-9799
Mailing address
12340 S 450 E, DRAPER, UT 84020-8154
(801) 501-9797
(801) 501-9799
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33810
AZ
208D00000X
General Practice Physician
Primary
9140981-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
947509
—
AZ
Enumeration date
02/14/2006
Last updated
04/28/2016
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