Larry H Killebrew is a Surgery in Gulfport, Mississippi. Larry H Killebrew practices all healthcare services and medical treatments related to Surgery. The NPI Number for Larry H Killebrew is 1265514301. The last update date is 2007-07-08.
Larry H Killebrew's current location address is 4500 13th St, Gulfport, Mississippi. You can contact this provider via phone number 2288653151 and fax number 2288674124. The mailing address for Larry H Killebrew is 4500 13th St, Gulfport, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Larry H Killebrew |
|---|---|
| Address | 4500 13th St, Gulfport, Mississippi |
| Phone Number | 2288653151 |
| Fax Number | 2288674124 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1265514301 |
|---|---|
| Provider Enumeration Date | 2006-10-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4500 13th St |
|---|---|
| City | Gulfport |
| State | Mississippi (MS) |
| Post Code | 395012515 |
| Phone Number | 2288653151 |
| Fax Number | 2288674124 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
| Licence No | 8371 |
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Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 119198 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Larry H Killebrew by the Centers for Medicare & Medicaid Services?
The Larry H Killebrew has been issued the NPI (National Provider Identifier) 1265514301. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Larry H Killebrew is physically located?
The Larry H Killebrew is situated at the following address: 4500 13Th St, Gulfport, MS 395012515.
What is Larry H Killebrew's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Larry H Killebrew is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date was the 1265514301 assigned to Larry H Killebrew?
The Larry H Killebrew was issued its 1265514301 on 2006-10-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Larry H Killebrew's information last updated?
The Larry H Killebrew's information was last updated on 2007-07-08.