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NPI Code Detail

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

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
1207RH0003XHematology & Oncology Physician265238-1NY

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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