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1194778910
MARK RAY KILLMAN
INDEPENDENCE, MO
NPI
1194778910
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
(Licence: MO 107716)
Enumeration Date
2006-05-19
Last Update Date
2007-09-06
Business Address
Dr. MARK RAY KILLMAN M.D.
19550 E 39TH ST S SUITE 415
INDEPENDENCE, MO 64057-2303
Phone number: 816-254-9595
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Mailing Address
Dr. MARK RAY KILLMAN M.D.
14607 GRANADA ST
LEAWOOD, KS 66224-3703
Phone number: 913-544-1956
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