Killeen, Timothy Robert

Killeen, Timothy Robert is an individual health care provider with primary practice located at 4606 Greenwood Rd , Louisville KY 40258. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Killeen, Timothy Robert can be contacted via phone (502) 937-2209.

Contact Information

Primary practice address
4606 Greenwood Rd Louisville KY 40258
Phone: (502) 937-2209
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 25892 Kentucky

Profile Details

NPI number 1730187790
LBN Legal business name Killeen, Timothy Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Oct 23rd, 2020 - about 5 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 1730187790 NPPES
Kentucky MEDICAID 64258924
Kentucky Other K307890
Kentucky Other 021102300
Kentucky Other 2432232000
Kentucky MEDICAID 200240660A
Kentucky Other 000000047638
Kentucky Other 1048815
Kentucky Other 611001258

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