Ronald B Killian Dpm Llc

LBN: Ronald B Killian Dpm Llc
Ronald B Killian Dpm Llc is an health care organization with primary practice located at 1731 Mesquite Ave Suite 4, Lake Havasu City AZ 86403-5653. The organization recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as the primary health care specialty. Ronald B Killian Dpm Llc can be contacted via phone (928) 854-4307, or through Killian, Ronald B. via phone (928) 854-4307.

Contact Information

Primary practice address
1731 Mesquite Ave Suite 4 Lake Havasu City AZ 86403-5653
Phone: (928) 854-4307
Fax: (928) 854-4339
Website:
Map and Directions
Authorized official contact:
Name: Killian, Ronald B. Doctor of Podiatric Medicine (DPM)
Phone: (928) 854-4307

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 0554 Arizona

Profile Details

NPI number 1821275355
LBN Legal business name Ronald B Killian Dpm Llc
DBA Doing business as
Authorized official Killian, Ronald B. Doctor of Podiatric Medicine (DPM)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 28th, 2008
Last updated Jul 3rd, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821275355 NPPES
Arizona MEDICAID 305439
Arizona Other DO8411

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