Killackey, Mary T
Killackey, Mary T is an individual health care provider with primary practice located at 1415 Tulane Ave # Tw-35 , New Orleans LA 70112-2600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Transplant Surgery, which is considered as her primary health care specialty. Killackey, Mary T can be contacted via phone (504) 988-0783.Contact Information
Primary practice address
1415 Tulane Ave # Tw-35
New Orleans LA 70112-2600
Phone: (504) 988-0783
Fax: (504) 988-7510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Transplant Surgery | 204F00000X | MD.201122 | Louisiana |
Profile Details
| NPI number | 1538129135 |
|---|---|
| LBN Legal business name | Killackey, Mary T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Sep 20th, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538129135 | NPPES |
| Louisiana | MEDICAID | 1455172 | |
| Louisiana | MEDICAID | 101398841 |
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