Killian, James Wendall

Killian, James Wendall is an individual health care provider with primary practice located at 402 Cumberland Ave , Williamsburg KY 40769-1238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Killian, James Wendall can be contacted via phone (606) 549-2656.

Contact Information

Primary practice address
402 Cumberland Ave Williamsburg KY 40769-1238
Phone: (606) 549-2656
Fax: (606) 549-2855
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34305 Tennessee
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35670 Kentucky

Profile Details

NPI number 1649273467
LBN Legal business name Killian, James Wendall
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Mar 7th, 2023 - about last year

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 1649273467 NPPES
Kentucky Other 35670 STATE LICENSE
Kentucky MEDICAID Q022263 STATE LICENSE
Kentucky Other 034305 STATE LICENSE
Kentucky MEDICAID 64017809 STATE LICENSE

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