Sean M Killoran, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD00011465 Issued in WA

Practice address

4301 S Pine St
Ste 301
Tacoma, WA 98409-7264

Phone

(253) 476-6500

NPI assigned

Feb 12, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268179200000",
    "number": "1093857724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 OLD BRIDGESITE RD",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284295046",
            "telephone_number": "505-946-8401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 S PINE ST",
            "address_2": "STE 301",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984097264",
            "telephone_number": "253-476-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILLORAN",
        "first_name": "SEAN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2010-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "WA",
            "license": "MD00011465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1056225",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dominic Joseph Kiley, M.D.
• David B Kilgore, MD
• Martinez Kilgore
• Sandra Killebrew, LMFT
• Lana Killingsworth
• Kevin Michael Kilroy, PA-C
• Nael Kilzieh, MD
• Yena Kim-Hall
• Sylvia Kim-Sioda, DDS
• Andy Choi Kim, DPT

• Child & Adolescent Psychiatry Physician in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Child & Adolescent Psychiatry Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.