Individual provider · NPI-1

Dr. Stephen E Killian, MD

Family Medicine · Edgewater, MD

NPI number1285627778
StatusActive
Last updated in NPPESApr 1, 2015

Details

NPI
1285627778
Entity type
Individual (NPI-1)
Name
Dr. Stephen E Killian
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Aug 30, 2005
Last updated
Apr 1, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineD0029193MDYes

Practice location

3169 Braverton St
Suite 201
Edgewater, MD 21037-2679

Phone 410-956-4911 · Fax 410-956-4935

Mailing address

Po Box 12622
Belfast, ME 04915-4017

Phone 443-481-6480 · Fax 443-481-6515

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