IndividualActive
Mark Killman, M.D.
NPI 1194778910 · Rehabilitation Practitioner · Independence, MO
Provider details
- NPI number
- 1194778910
- Entity type
- Individual
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 107716 (MO)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
19550 E 39th St S
Suite 415
Independence, MO 64057-2303
Phone: (816) 254-9595
Fax: (816) 836-3810
Approximate (ZIP-level) locationGet directions
Mailing address
14607 Granada St
Leawood, KS 66224-3703
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2007-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.