Killion, Mary Ellen

Killion, Mary Ellen is an individual health care provider with primary practice located at 840 Harrison Ave Fl 1 , Boston MA 02118-2905. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Killion, Mary Ellen can be contacted via phone (617) 414-4991.

Contact Information

Primary practice address
840 Harrison Ave Fl 1 Boston MA 02118-2905
Phone: (617) 414-4991
Fax: (617) 414-4999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 172394 Massachusetts

Profile Details

NPI number 1477503498
LBN Legal business name Killion, Mary Ellen
Credentials PNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Mar 27th, 2024 - about 2 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 1477503498 NPPES
Massachusetts MEDICAID 110019451A

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