MEDICARE: DR. OLIVIA KILLEEN MD

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	207WX0110X	Pediatric Ophthalmology and Strabismus Specialist Physician Physician	76170	MN

General Provider Information

NPI Number	:	1225560576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. OLIVIA KILLEEN MD

Provider Business Mailing Address
First Line	:	3900 PARK NICOLLET BLVD
Second Line	:
City	:	SAINT LOUIS PARK
State	:	MN
Zip	:	55416-2503
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3900 PARK NICOLLET BLVD
Second Line	:
City	:	SAINT LOUIS PARK
State	:	MN
Zip	:	55416-2503
Country	:	US
Telephone Number	:	952-993-3150
Fax Number	:

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

Provider Enumeration Date	:	03/28/2017
Last Update Date	:	06/15/2025

Similar Medicare Providers

1467407379 — MICHELLE LHOTKA PA-C
Practice Location Address:

3900 PARK NICOLLET BLVD
SAINT LOUIS PARK, MN
55416-2503

Practice Phone: 952-993-3150
Practice Fax:

1467692616 — DR. MICHAEL JOHN BUTCHER D.O.
Practice Location Address:

3900 PARK NICOLLET BLVD
SAINT LOUIS PARK, MN
55416-2503

Practice Phone: 952-993-1000
Practice Fax:

1346305927 — MS. PAULA MARIA ELLIS LPC
Practice Location Address:

5819 JULIAN AVE
SAINT LOUIS, MO
63112-2503

Practice Phone: 314-239-3618
Practice Fax: 314-389-0579

1760620272 — A TO Z THERAPY SERVICES, LLC
Practice Location Address:

5841 JULIAN AVE
SAINT LOUIS, MO
63112-2503

Practice Phone: 314-749-3826
Practice Fax:

1255632428 — JENNIFER ANN SCOTT M.S.W.
Practice Location Address:

1902 ARSENAL ST STE 240
SAINT LOUIS, MO
63118-2503

Practice Phone: 314-346-8299
Practice Fax:

1710486154 — ALEXANDRA CECILIA WHITE VISER LCSW
Practice Location Address:

1902 ARSENAL ST STE 240
SAINT LOUIS, MO
63118-2503

Practice Phone: 314-252-0174
Practice Fax:

Directions to “ DR. OLIVIA KILLEEN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.