Killian, Mary Elaine

Killian, Mary Elaine is an individual health care provider with primary practice located at 51 N Dunlap St , Memphis TN 38105-4625. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as her primary health care specialty. Killian, Mary Elaine can be contacted via phone (901) 287-7337.

Contact Information

Primary practice address
51 N Dunlap St Memphis TN 38105-4625
Phone: (901) 287-7337
Fax: (901) 937-6691
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 59126 Tennessee

Profile Details

NPI number 1649536350
LBN Legal business name Killian, Mary Elaine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2012
Last updated Sep 25th, 2020 - about 6 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 1649536350 NPPES
Mississippi MEDICAID 05235086
Mississippi MEDICAID Q050619

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