DR. THERESE KATHLEEN KILLEEN


Address: 125 Doughty St, Suite 190, Charleston, SC 29403-5736
Phone: 8437925232

DR. THERESE KATHLEEN KILLEEN (NPI# 1346451069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346451069
Entity Type Individual
Full Name DR. THERESE KATHLEEN KILLEEN
Credential PHD APRN
Practice Address 125 Doughty St
Suite 190
Charleston
SC 29403-5736
Practice Telephone 8437925232
Practice Fax Number 8437928206
Mailing Telephone 8437925232
Mailing Fax Number 8437928206
Enumeration Date 2007-05-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0808X Clinical Nurse Specialist
Specialization: Psych/Mental Health
13030 SC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 125 DOUGHTY ST
SUITE 190
City CHARLESTON
State SC
Zip Code 29403-5736

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548263510 Laurel K Fox Nurse Anesthetist, Certified Registered 125 Doughty St, Ste 430, Charleston, SC 29403-5741 2005-05-24
1013409358 Eleanor Cody Registered Nurse 125 Doughty St, Charleston, SC 29403-5736 2018-06-02
1053840769 Cheryl Ann Allen Nurse Practitioner 125 Doughty St, Charleston, SC 29403-5736 2017-06-06
1447624218 Alison Leigh Sherrod Physician Assistant 125 Doughty St, Suite 690, Charleston, SC 29403-5736 2015-11-17
1215314828 Roper Saint Francis Physicians Network Psychologist 125 Doughty St, Charleston, SC 29403 2015-05-04
1841683919 Roper Saint Francis Physicians Network Internal Medicine 125 Doughty St, Suite 280, Charleston, SC 29403-5736 2015-03-12
1235535279 Roper Hospital, Inc. Anesthesiology 125 Doughty St, Suite 300, Charleston, SC 29403-5736 2014-11-18
1972933679 Roper Saint Francis Physicians Network Counselor 125 Doughty St, Suite 280, Charleston, SC 29403 2013-11-15
1881943363 Jeremy M Freitas Physician Assistant 125 Doughty St, Suite 680, Charleston, SC 29403 2012-08-30
1477811784 Sheila Regina Hutchens Nurse Practitioner 125 Doughty St, Ste. 680, Charleston, SC 29403-5736 2012-04-25
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1194266072 Ashley Rogers Albrecht Dentist 29 Bee St, Fourth Floor, Charleston, SC 29403 2017-03-13
1427467307 Valerie Nicole Garilas Pharmacist 1400 Woodruff Road, Greenville, SC 29403 2014-08-05
1467883645 Disabilities Board of Charleston County Case Management 995 Morrison Drive, Suite 100, Charleston, SC 29403 2013-12-12
1326487588 Tracy Jon Tipton Urology 125 Doughty St Ste 300, Charleston, SC 29403 2013-06-21
1205171964 Brian Sherman Psychologist 26a Bee St., Charleston, SC 29403 2012-12-06
1710291455 Linda Ramsey Bright Clinical Nurse Specialist 103 Bee Street, Charleston, SC 29403 2010-08-05
1598990442 Colleen Lehn Degeorge Social Worker 198 Rutledge Avenue, Suite 8, Charleston, SC 29403 2009-05-21
1164618815 Diane Andrews Speech-Language Pathologist Musc Speech Language Pathology, 169 Ashley Ave Msc 335, Charleston, SC 29403 2007-09-17
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Taxonomy Information

Taxonomy Code 364SP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114098563 Eugene Tad Vickers Clinical Nurse Specialist 511 Morris Street, Charleston, WV 25301 2006-11-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1831491331 Lauri Maze-davis Clinical Nurse Specialist 130 Ben Casey Drive, Ste 102, Fort Mill, SC 29708-6567 2010-12-03
1033211321 Leslie R Justice Clinical Nurse Specialist 1278 North Lafayette Drive, Sumter, SC 29150-2964 2006-09-05
1407234909 Bernice Kennedy Clinical Nurse Specialist 18 Barnette Dr, Sumter, SC 29150-8004 2015-05-15
1255722633 Catherine M. Etori Clinical Nurse Specialist 701 Cashua Ferry Rd, Darlington, SC 29532-8488 2015-02-06
1427301092 Journey Revealed Clinical Nurse Specialist 1700 First Baxter Xing, Suite 204, Fort Mill, SC 29708-8948 2012-10-19

Competitor

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City CHARLESTON
Zip Code 29403

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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