Killman, Dana J.

Killman, Dana J. is an individual health care provider with primary practice located at 550 Pope Ave Nw Suite 200, Winter Haven FL 33881-4679. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Killman, Dana J. can be contacted via phone (863) 299-2630.

Contact Information

Primary practice address
550 Pope Ave Nw Suite 200 Winter Haven FL 33881-4679
Phone: (863) 299-2630
Fax: (863) 969-0723
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA734 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108494 Florida

Profile Details

NPI number 1588796767
LBN Legal business name Killman, Dana J.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jun 5th, 2015 - about 10 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 1588796767 NPPES
Kentucky MEDICAID 95002994

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