Killeen, Anna

Killeen, Anna is an individual health care provider with primary practice located at 588 E Lakewood Blvd 2Nd Floor, Holland MI 49424-2023. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Killeen, Anna can be contacted via phone (616) 494-5810.

Contact Information

Primary practice address
588 E Lakewood Blvd 2Nd Floor Holland MI 49424-2023
Phone: (616) 494-5810
Fax: (616) 494-5901
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601004321 Michigan

Profile Details

NPI number 1922283993
LBN Legal business name Killeen, Anna
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2008
Last updated Dec 4th, 2020 - about 4 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 1922283993 NPPES
Michigan MEDICAID 1922283993

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