James David Killeen III M.D.

NPI 1003100579 - Pediatrics - 208000000X

NPI Details
NPI 1003100579
Gender Male
Enumeration Date 06/02/2011
Last Updated 08/29/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
9961 SIERRA AVE
KAISER PERMANENTE FONTANA - PEDIATRICS
FONTANA CA, 92335-6720, US
Phone (909) 427-6960
Fax
Business Location
35879 TREVINO TRL
BEAUMONT CA, 92223-6233, US
Phone (951) 202-1493
Fax
Toxanomy
Taxonomy Code 208000000X
License State California
License Number A126081
Remove 1003100579 NPI Number
 

According to our database, Mr. James David Killeen III M.D. NPI is 1003100579, taxonomy code is 208000000X and license number is A126081, license state is located at California. James David Killeen III M.D. physically located at 9961 Sierra Ave, Fontana CA, 92335-6720. NPI Number James David Killeen III M.D. has the Individual type.

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1003100579 NPI number is provided on an as is basis without warranty of any kind. 1003100579 is maintained by the National Plan & Provider Enumeration System. The contents of James David Killeen III M.D. are for informational purposes only.