Doctor Name: | DR. AMANDA KILLINGER |
NPI Number: | 1932536687 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DO |
License Number: | 0102203630 |
Business Practice Address: | 1090 Arnold Dr Flight Medicine Clinic Little Rock Afb, AR - 720994933 |
Business Phone Number: | 5019877311 |
Business Fax Number: | |
Mailing Address: | 1090 Arnold Dr, Flight Medicine Clinic LITTLE ROCK AFB |
State: | AR |
Postal Code: | 720994933 |
Phone Number: | 5019877311 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2013 |
NPI Last Update Date: | 09/26/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 0102203630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |