Killeen, Thomas Edward

Killeen, Thomas Edward is an sole proprietor health care provider with primary practice located at 9770 South Mccarran Blvd. , Reno NV 89523. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Killeen, Thomas Edward can be contacted via phone (775) 322-4589.

Contact Information

Primary practice address
9770 South Mccarran Blvd. Reno NV 89523
Fax: (775) 322-3787
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 12685 Nevada

Profile Details

NPI number 1427167535
LBN Legal business name Killeen, Thomas Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 30th, 2006
Last updated Nov 4th, 2011 - about 14 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 1427167535 NPPES
Nevada MEDICAID 00G03369

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