Killackey, Mary T

Killackey, Mary T is an individual health care provider with primary practice located at 1415 Tulane Ave # Tw-35 , New Orleans LA 70112-2600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as her primary health care specialty. Killackey, Mary T can be contacted via phone (504) 988-0783.

Contact Information

Primary practice address
1415 Tulane Ave # Tw-35 New Orleans LA 70112-2600
Phone: (504) 988-0783
Fax: (504) 988-7510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Transplant Surgery 204F00000X MD.201122 Louisiana

Profile Details

NPI number 1538129135
LBN Legal business name Killackey, Mary T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Sep 20th, 2011 - about 15 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 1538129135 NPPES
Louisiana MEDICAID 1455172
Louisiana MEDICAID 101398841

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