Richard Killeen

NPI #1356962955 in Chattanooga, Tennessee

Provider Information

NPI Number: 1356962955
Entity Type: Individual
Name: Richard Killeen
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: General Practice
Enumeration Date: May 5, 2020
Last Updated: Sep 26, 2023

Practice Location

Address: 3931 INLET LOOP
City: Chattanooga
State: Tennessee
ZIP Code: 37416-3087
Phone: (502) 644-0769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary
Student in an Organized Health Care Education/Training Program	390200000X

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