Killoran, Sean M

Killoran, Sean M is an individual health care provider with primary practice located at 4301 S Pine St Ste 301, Tacoma WA 98409-7264. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Killoran, Sean M can be contacted via phone (253) 476-6500.

Contact Information

Primary practice address
4301 S Pine St Ste 301 Tacoma WA 98409-7264
Phone: (253) 476-6500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD00011465 Washington

Profile Details

NPI number 1093857724
LBN Legal business name Killoran, Sean M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Mar 10th, 2010 - about 15 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 1093857724 NPPES
Washington MEDICAID 1056225

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