Organization Name: | LARRY K. KILLEBREW, MD, INC |
NPI Number: | 1306850623 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LARRY K KILLEBREW (PRESIDENT) |
Mailing Address: | 1500 N Green Ave Purcell |
State: | OK US |
Postal Code: | 730801642 |
Phone Number: | 4055276524 |
Fax Number: | |
NPI Enumeration Date: | 07/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |