Killen, Amy B.

Killen, Amy B. is an individual health care provider with primary practice located at 12340 S 450 E , Draper UT 84020-8154. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Killen, Amy B. can be contacted via phone (801) 501-9797.

Contact Information

Primary practice address
12340 S 450 E Draper UT 84020-8154
Phone: (801) 501-9797
Fax: (801) 501-9799
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 33810 Arizona
Allopathic & Osteopathic Physicians / General Practice 208D00000X 9140981-1205 Utah

Profile Details

NPI number 1992779185
LBN Legal business name Killen, Amy B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Apr 28th, 2016 - about 10 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 1992779185 NPPES
Arizona MEDICAID 947509

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