Michael Killian PA-C

NPI 1679784847 - Physician Assistant - 363A00000X

NPI Details
NPI 1679784847
Gender Male
Enumeration Date 05/26/2007
Last Updated 03/04/2010
Entity Type Individual
Active Over 9 years ago
Practice Location
8005 RILLWOOD DR
WAXHAW NC, 28173-7622, US
Phone (727) 215-3594
Fax
Business Location
8005 RILLWOOD DR
WAXHAW NC, 28173-7622, US
Phone (727) 215-3594
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Florida
License Number PA-9102087
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According to our database, Mr. Michael Killian PA-C NPI is 1679784847, taxonomy code is 363A00000X and license number is PA-9102087, license state is located at Florida. Michael Killian PA-C physically located at 8005 Rillwood Dr, Waxhaw NC, 28173-7622. NPI Number Michael Killian PA-C has the Individual type.

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1679784847 NPI number is provided on an as is basis without warranty of any kind. 1679784847 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Killian PA-C are for informational purposes only.