Killebrew, Michael

Killebrew, Michael is an individual health care provider with primary practice located at 425 Broadway St , Paducah KY 42001-0713. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Killebrew, Michael can be contacted via phone (270) 442-7121.

Contact Information

Primary practice address
425 Broadway St Paducah KY 42001-0713
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1770995235
LBN Legal business name Killebrew, Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2014
Last updated Jun 2nd, 2014 - about 12 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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