Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider
is Licensed or Credentialed. For more information please refer to
NPI: What You Need to Know
DR. JOHN J KILLEEN DDS
Gender: MALE
NPI: 1467669804
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Last Updated: | 2007-07-08 | ||
| Certification Date: |
Details
| Name | Value | ||||||||
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| NPI | 1467669804 | ||||||||
| Enumeration Date | 2007-05-16 | ||||||||
| NPI Type | 1 - Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address |
110 VILLAGE ST
SLIDELL, LA 70458-5300 United States Phone: 985-643-7516 | Fax: 985-646-2503 View Map 
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| Primary Practice Address |
110 VILLAGE ST
SLIDELL, LA 70458-5300 United States Phone: 985-643-7516 | Fax: 985-646-2503 View Map
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