Killeen, Anthony A
Killeen, Anthony A is an individual health care provider with primary practice located at 420 Delaware Street Se 760 Mayo Memorial Building, Minneapolis MN 55455. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Molecular Genetic Pathology, Allopathic & Osteopathic Physicians / Chemical Pathology, Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine. Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine is his primary health care specialty. Killeen, Anthony A can be contacted via phone (612) 625-5443.Contact Information
Primary practice address
420 Delaware Street Se 760 Mayo Memorial Building
Minneapolis MN 55455
Phone: (612) 625-5443
Fax: (612) 625-1121
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Molecular Genetic Pathology | 207ZP0007X | 30034 | Minnesota |
| Allopathic & Osteopathic Physicians / Chemical Pathology | 207ZP0104X | 30034 | Minnesota |
| Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine | 207ZP0105X | 30034 | Minnesota |
Profile Details
| NPI number | 1811087323 |
|---|---|
| LBN Legal business name | Killeen, Anthony A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2006 |
| Last updated | May 4th, 2012 - about 12 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 | 1811087323 | NPPES |
| Minnesota | MEDICAID | 041657600 | |
| Minnesota | Other | 11-00014 | |
| Minnesota | Other | 1696864 | |
| Minnesota | Other | HP38352 | |
| Minnesota | Other | 11-00232 | |
| Minnesota | Other | 102788 | |
| Minnesota | Other | 1031950 |
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