MEDICARE: SARA ANNE KILLION RRT

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	227900000X	Registered Respiratory Therapist	5458	TN

General Provider Information

NPI Number	:	1922443795
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARA ANNE KILLION RRT

Provider Business Mailing Address
First Line	:	2205 BIBLES CHAPEL RD
Second Line	:
City	:	MIDWAY
State	:	TN
Zip	:	37809-4144
Country	:	US
Telephone Number	:	865-851-4934
Fax Number	:

Provider Business Practice Location Address
First Line	:	2205 BIBLES CHAPEL RD
Second Line	:
City	:	MIDWAY
State	:	TN
Zip	:	37809-4144
Country	:	US
Telephone Number	:	865-851-4934
Fax Number	:

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

Provider Enumeration Date	:	05/06/2013
Last Update Date	:	05/06/2013

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