Killen, Brian Keith

Killen, Brian Keith is an individual health care provider with primary practice located at 1 Medical Park Blvd Ste 400E , Bristol TN 37620-7431. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Killen, Brian Keith can be contacted via phone (423) 844-5400.

Contact Information

Primary practice address
1 Medical Park Blvd Ste 400E Bristol TN 37620-7431
Phone: (423) 844-5400
Fax: (423) 844-5434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1085 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1085 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1085 Tennessee

Profile Details

NPI number 1417965526
LBN Legal business name Killen, Brian Keith
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Oct 18th, 2019 - about 6 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 1417965526 NPPES
Tennessee MEDICAID 1512862

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