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Contact Information

AMY B KILLEN, MD
12340 S 450 E
DRAPER, UT84020-8154
 Phone: 801-501-9797
 Fax: 801-501-9799
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for AMY B KILLEN · (Female)

NPI # 1992779185
Status Active
Credentials MD
Entity Individual
Enumeration date 02/14/2006
Last updated 04/28/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 33810
  • UT License # 9140981-1205
  • AZ Medicaid 947509
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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