MEDICARE: DR. KATHLEEN A. KILLORAN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RH0003X	Hematology & Oncology Physician	265238-1	NY

General Provider Information

NPI Number	:	1558551242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KATHLEEN A. KILLORAN M.D.

Provider Business Mailing Address
First Line	:	226 ATLANTIC AVE
Second Line	:	2R
City	:	BROOKLYN
State	:	NY
Zip	:	11201-5728
Country	:	US
Telephone Number	:	718-916-7170
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 CLARKSON AVE
Second Line	:	5TH FLOOR HEMATOLOGY ONCOLOGY DIVISION
City	:	BROOKLYN
State	:	NY
Zip	:	11203-2012
Country	:	US
Telephone Number	:	718-618-8678
Fax Number	:	718-270-4328

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2007
Last Update Date	:	07/11/2013

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