Johanna Elaine Killian, PA

NPI #1114038700 in Saint Joseph, Michigan

Provider Information

NPI Number: 1114038700
Entity Type: Individual
Name: Johanna Elaine Killian, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Aug 31, 2006
Last Updated: Feb 25, 2010

Practice Location

Address: 300 E MAIDEN LN
City: Saint Joseph
State: Michigan
ZIP Code: 49085-8516
Phone: (269) 429-7546

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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