Kenneth R Kilian MD PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2002022533 Issued in MO

Legal business name

KENNETH R KILIAN MD PC

Practice address

1390 US Highway 61
Suite 2200
Festus, MO 63028-4137

Phone

(636) 933-9300

Fax

(636) 933-9114

NPI assigned

Jun 22, 2007

Organization subpart

No

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

Authorized official

Name

Kenneth R Kilian, M.D.

Title

President

Phone

(636) 933-9300

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1841496387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61",
            "address_2": "SUITE 2200",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-933-9300",
            "fax_number": "636-933-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 US HIGHWAY 61",
            "address_2": "SUITE 2200",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630284137",
            "telephone_number": "636-933-9300",
            "fax_number": "636-933-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH R KILIAN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "KILIAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "636-933-9300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2002022533",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507485407",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG2485",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ritu Kathuria, M.D.
• Jennifer Dawn Keen, LMSW
• Rochelle Denise Keene
• Kimberly Kemerer, LPC
• William Kennen Jr., DO
• Theresa Kerperien
• Bradford B. Kesler, O.D.
• Jeffrey Lynde Kettelhut, BS IN PHARMACY
• Kevin T Enger MD PC
• Basem Khishfe, M.D.

• Family Medicine Physician in Festus, MO
• Providers in Festus, MO by specialty
• Family Medicine Physician in Missouri

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