Killackey, Maureen A

Killackey, Maureen A is an individual health care provider with primary practice located at 1 Atwell Rd , Cooperstown NY 13326-1301. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Killackey, Maureen A can be contacted via phone (607) 547-3909.

Contact Information

Primary practice address
1 Atwell Rd Cooperstown NY 13326-1301
Phone: (607) 547-3909
Fax: (607) 547-6325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 141020 New York
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 141020 New York

Profile Details

NPI number 1942264791
LBN Legal business name Killackey, Maureen A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2006
Last updated Jul 8th, 2007 - about 17 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 1942264791 NPPES
New York MEDICAID 00842140

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