KILLEN CLINIC NPI 1891914362

NPI Information

KILLEN CLINIC is a family medicine in Killen, AL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. KILLEN CLINIC NPI is 1891914362. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

148 J C MAULDIN HWY
KILLEN, AL
ZIP 35645-106
Phone: (256) 757-5353
Fax: (256) 757-9744

The provider's authorized official is David A Hollis .
The authorized official title is President and has the following contact phone number (256) 757-5353.

The CLIA number assigned to this NPI record is 01D0302585 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 6/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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