Killpack, John R

Killpack, John R is an sole proprietor health care provider with primary practice located at 1303 N Main St , Cedar City UT 84720-9746. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Killpack, John R can be contacted via phone (801) 993-9501.

Contact Information

Primary practice address
1303 N Main St Cedar City UT 84720-9746
Phone: (801) 993-9501
Fax: (801) 733-5618
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 201807-4406 Utah

Profile Details

NPI number 1275647489
LBN Legal business name Killpack, John R
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1275647489 NPPES
Utah Other 597854 HEALTHY U
Utah Other 2000630 HEALTHY U
Utah Other 851396 HEALTHY U
Utah MEDICAID 943284 HEALTHY U
Utah Other TPRA09124 HEALTHY U
Utah Other 107026813102 HEALTHY U
Utah Other 79799 HEALTHY U

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