Killian, Ronald Bernard

Killian, Ronald Bernard is an individual health care provider with primary practice located at 25 Riviera Blvd , Lake Havasu City AZ 86403-5694. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Killian, Ronald Bernard can be contacted via phone (928) 505-5555.

Contact Information

Primary practice address
25 Riviera Blvd Lake Havasu City AZ 86403-5694
Phone: (928) 505-5555
Fax: (928) 505-2877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0554 Arizona
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 0554 Arizona

Profile Details

NPI number 1205813565
LBN Legal business name Killian, Ronald Bernard
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Jul 16th, 2012 - about 14 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 1205813565 NPPES
Arizona MEDICAID 305439

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