Kelly Jean Killian
Gynecologic Oncologist
2450 Riverside Ave
Minneapolis
, Minnesota 55454-1450
Kelly Jean Killian
Gynecologic Oncologist
2450 Riverside Ave
Minneapolis
, Minnesota 55454-1450
(256) 613-7358
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About
Features
Specialties
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Kelly Jean Killian
- 512 Hampton Pl
- Portsmouth, VA
- Zip : 23704-2520
- Phone : (256) 613-7358
Second Address
- Kelly Jean Killian
- 2450 Riverside Ave
- Minneapolis, MN
- Zip : 55454-1450
- Fax : (612) 273-4098
- Phone : (612) 672-6000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VX0201X | Gynecologic Oncologist | 0024177448 | VA |
National Provider Identifier
| NPI | 1013478775 |
|---|---|
| Provider Name | Kelly Jean Killian |
| First Address | Portsmouth, VA 23704-2520 |
| Second Address | Minneapolis, MN 55454-1450 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/03/2019 |
| Last Update Date | 16/04/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.