Killeen, Joseph Kimberly

Killeen, Joseph Kimberly is an individual health care provider with primary practice located at 4102 24 St Suite 502, Lubbock TX 79410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Killeen, Joseph Kimberly can be contacted via phone (806) 725-6745.

Contact Information

Primary practice address
4102 24 St Suite 502 Lubbock TX 79410
Phone: (806) 725-6745
Fax: (806) 723-6716
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X K4931 Texas

Profile Details

NPI number 1053376855
LBN Legal business name Killeen, Joseph Kimberly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Sep 17th, 2008 - about 16 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 1053376855 NPPES
Texas MEDICAID 044739302

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