Kenneth C. Killen M.D. PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D6054 Issued in TX

Legal business name

KENNETH C. KILLEN M.D. PA

Practice address

8411 Preston Rd Ste 200
Dallas, TX 75225-5517

Phone

(214) 265-8646

Fax

(214) 361-1939

NPI assigned

Dec 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Carroll Killen, M.D.

Title

President

Phone

(214) 265-8646

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1197504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198022400000",
    "number": "1649453580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8411 PRESTON RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255517",
            "telephone_number": "214-265-8646",
            "fax_number": "214-361-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8411 PRESTON RD STE 200",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752255517",
            "telephone_number": "214-265-8646",
            "fax_number": "214-361-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C. KILLEN M.D. PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-13",
        "last_updated": "2007-12-19",
        "status": "A",
        "authorized_official_last_name": "KILLEN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "CARROLL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-265-8646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D6054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary A Kennedy, MD
• Anna Jeannette Kennell, PT, DPT
• Linda Lee Kenner, P.T.
• Donald A Kennerly, MD
• Kennesaw State University
• Kenneth C. Killen, MD, PA
• Kenneth I Uzick OD PC
• Kenneth R Dority DO PA
• Kenneth R Kollmeyer MD PA
• Kenneth S Bayles DO PA

• Internal Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.