Killeen, Jeffrey L
Killeen, Jeffrey L is an sole proprietor health care provider with primary practice located at 1319 Punahou St Bsmt , Honolulu HI 96826-1001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is his primary health care specialty. Killeen, Jeffrey L can be contacted via phone (808) 983-8547.Contact Information
Primary practice address
1319 Punahou St Bsmt
Honolulu HI 96826-1001
Phone: (808) 983-8547
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | MD5898 | Hawaii |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | MD5898 | Hawaii |
Profile Details
| NPI number | 1346359247 |
|---|---|
| LBN Legal business name | Killeen, Jeffrey L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1346359247 | NPPES |
| Hawaii | Other | MD589801 | QUEENS |
| Hawaii | MEDICAID | 2623419 | QUEENS |
| Hawaii | Other | I29281 | QUEENS |
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