Kilian, Kenneth Richard

Kilian, Kenneth Richard is an individual health care provider with primary practice located at 1390 Highway 61 Suite 2200, Festus MO 63028-4137. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Kilian, Kenneth Richard can be contacted via phone (636) 933-9300.

Contact Information

Primary practice address
1390 Highway 61 Suite 2200 Festus MO 63028-4137
Phone: (636) 933-9300
Fax: (636) 933-9114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2002022533 Missouri

Profile Details

NPI number 1225023955
LBN Legal business name Kilian, Kenneth Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Apr 10th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225023955 NPPES
Missouri Other P01222334 RAILROAD MEDICARE
Missouri MEDICAID 1225023955 RAILROAD MEDICARE
Missouri MEDICAID 203307137 RAILROAD MEDICARE

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