=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447461603
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BARBARA KILIAN, M D
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/26/2007
-----------------------------------------------------
Last Update Date | 06/29/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 29260 FRANKLIN RD APT 109
-----------------------------------------------------
City | SOUTHFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48034-1144
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-788-7095
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 29260 FRANKLIN RD APT 109
-----------------------------------------------------
City | SOUTHFIELD
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48034-1144
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 248-788-7095
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | BARBARA KILIAN
-----------------------------------------------------
Credential | M D
-----------------------------------------------------
Telephone | 248-788-7095
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number | BK066425
-----------------------------------------------------
License Number State | MI
-----------------------------------------------------