KENNETH R KILIAN MD PC (NPI# 1841496387) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841496387 |
| Entity Type | Organization |
| Organization Name | KENNETH R KILIAN MD PC |
| Practice Address |
1390 Us Highway 61 Suite 2200 Festus MO 63028-4137 |
| Practice Telephone | 6369339300 |
| Practice Fax Number | 6369339114 |
| Mailing Telephone | 6369339300 |
| Mailing Fax Number | 6369339114 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2010-10-19 |
| Authorized Official Name | KENNETH R KILIAN (PRESIDENT) |
| Authorized Official Telephone | 6369339300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 2002022533 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 507485407 | 05 | |
| MO | RAILROAD MEDICARE | DG2485 | 01 |
| Street Address |
1390 US HIGHWAY 61 SUITE 2200 |
| City | FESTUS |
| State | MO |
| Zip Code | 63028-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427037936 | Christopher M Speidel | Internal Medicine | 1390 Us Highway 61, Ste 2300, Festus, MO 63028-4137 | 2006-01-12 |
| 1891348694 | Elizabeth Al Bayati | Nurse Practitioner | 1390 Us Highway 61, Festus, MO 63028-4137 | 2019-07-20 |
| 1336568864 | Mercy Clinic Hyperbaric and Wound Care LLC | Surgery | 1390 Us Highway 61, Festus, MO 63028-4137 | 2014-04-11 |
| 1407288053 | Patrice Marlene Burnett | Nurse Practitioner | 1390 Us Highway 61, Suite N1000, Festus, MO 63028-4137 | 2013-08-06 |
| 1083957047 | Robert Tilley Md LLC | Internal Medicine | 1390 Us Highway 61, Suite 2300, Festus, MO 63028-4137 | 2013-03-28 |
| 1578816583 | Karen Lee Pfitzinger | Nurse Practitioner | 1390 Us Highway 61, Suite 3300, Festus, MO 63028-4137 | 2012-10-16 |
| 1679836381 | Jefferson Cardiovascular and Thoracic Services | Internal Medicine | 1390 Us Highway 61, Suite 3301, Festus, MO 63028-4137 | 2012-06-18 |
| 1063674513 | Julie Phillips Weber | Surgery | 1390 Us Highway 61, Ste G1500, Festus, MO 63028-4137 | 2008-06-26 |
| 1154523959 | Nawras Makhsida | Internal Medicine | 1390 Us Highway 61, Suite 2100, Festus, MO 63028-4137 | 2007-06-04 |
| 1316065972 | Synergy Ent Specialists, PC | Specialist | 1390 Us Highway 61, Suite 3100, Festus, MO 63028-4137 | 2007-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952943268 | Lauryn E Morris | Occupational Therapist | 3657 Baptist Park Rd, Mapaville, MO 63028 | 2019-10-09 |
| 1912557547 | Rena Robinson | Technician | 150 Brandon Wallace Way Suite 1014, Suite 1014, Festus, MO 63028 | 2019-09-16 |
| 1780232264 | Cynthia L James | Technician | 110 Juliet Place, Festus, MO 63028 | 2019-08-28 |
| 1700377009 | Akr Endodontics, LLC | Dentist | 1431 Us Hwy 61, Festus, MO 63028 | 2018-05-22 |
| 1962869990 | Fatma Esen Antakli | Nurse Practitioner | Advanced Pain Centers 190 Industrial Drive, Festus, MO 63028 | 2016-01-21 |
| 1083088744 | Megan Schomer | Counselor | 2675 Meyer Rd, Festus, MO 63028 | 2015-11-18 |
| 1043608144 | Elka Follmer | Physical Therapist | 1349 Us Hwy 61, Festus, MO 63028 | 2014-12-26 |
| 1811394729 | Ashley Schwendeman | Physical Therapist | 1403 N. Truman Blvd, Fesuts, MO 63028 | 2014-11-21 |
| 1073871257 | Staurla Chantel Waun | Counselor | 10719 Buckeye Rd, Festus, MO 63028 | 2012-04-25 |
| 1639444086 | Jeffrey Steitz | Otolaryngology | 1390 Us Highway 61 Ste 3100, Festus, MO 63028 | 2012-03-19 |
| Find all providers in zip 63028 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881123966 | Emily Bhandare | Family Medicine | 1500 Calvary Church Rd Ste B, Festus, MO 63028-4125 | 2017-06-12 |
| 1497033948 | Southern Illinois Healthcare Foundation, Inc | Family Medicine | 660 S Truman Blvd, Festus, MO 63028-2235 | 2011-08-02 |
| 1396881017 | Imran Ahmed | Family Medicine | 1153 E Gannon Dr, Festus, MO 63028-2611 | 2007-01-29 |
| 1477522977 | Padmini Charles | Family Medicine | 180 Industrial Dr, Festus, MO 63028 | 2006-03-16 |
| 1164416624 | Earl Gene Draves | Family Medicine | 1471 Us Highway 61, Festus, MO 63028 | 2005-09-09 |
| 1164416996 | Jeffrey Leonard Draves | Family Medicine | 1471 Us Hwy 61, Festus, Festus, MO 63028-4109 | 2005-09-08 |
| 1952309791 | Gary W Sides | Family Medicine | 1216 W Main St, Festus, MO 63028-1654 | 2005-07-13 |
| 1801328612 | Robert John Hieger | Family Medicine | 1390 Us Highway 61 Ste N-1000, Festus, MO 63028-4136 | 2017-03-30 |
| 1801253612 | St. Anthony's Physician Organization | Family Medicine | 1216 W Main St, Festus, MO 63028-1654 | 2016-01-25 |
| 1316353584 | Kylie Manuella Melton | Family Medicine | 1500 Calvary Church Rd, Festus, MO 63028-4125 | 2014-07-08 |
| Find all providers in FESTUS | ||||
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| 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.