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Contact Information

LISA M KILLIAN, RN CCM
112 WILLOWBROOK RD
ROCHESTER, NY14616
 Phone: 585-865-3046
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
 

Case Management

163WC0400X
 

Occupational Health

163WX0106X
Indicates primary specialty

NPI Profile & details for LISA M KILLIAN · (Female)

NPI Number 1164620373
Status Active
Credentials RN CCM
Entity Individual
Enumeration date 07/10/2007
Last updated 07/10/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • NY License # 4245201
  • NY Medicaid 02679596
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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