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Export Provider Record NPI 1194764415
Kristina M. KillenCFNP
Active
NPI Number1194764415
NPI TypeNPI-1 Individual
SpecialtyNurse Practitioner
Provider Details
NPI1194764415
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2006-06-05
Last Updated2018-02-20
Mailing Address825 Edward Dr
Daniels, WV 25832-9062
United States
Phone: (304) 763-1315
📍 View Map
Primary Practice Address1710 Harper Rd
Beckley, WV 25801-3357
United States
Phone: (304) 256-4100
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDWVPending-
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes363L00000X – Nurse PractitionerWV53018
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About NPI 1194764415

Kristina M. Killen CFNP is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1194764415. The primary specialty listed is Nurse Practitioner. The provider is located in Beckley, WV. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-06-05. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1194764415?

NPI 1194764415 belongs to Kristina M. Killen CFNP, a Nurse Practitioner in Beckley, WV. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1194764415 active?

The current status of NPI 1194764415 in the NPPES registry is Active. The record was last updated on 2018-02-20.

What specialty is NPI 1194764415?

NPI 1194764415 is classified under the taxonomy Nurse Practitioner. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1194764415?

You can verify NPI 1194764415 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1194764415?

The primary practice address on file for NPI 1194764415 is 1710 Harper Rd, Beckley, WV 25801-3357. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1194764415 issued?

NPI 1194764415 was first issued (enumerated) on 2006-06-05. The NPPES record was last updated on 2018-02-20.

Practice Location Map

Kristina M. Killen is located at 1710 Harper Rd, Beckley, WV. Use the map below to find directions or verify the practice location.

📍 1710 Harper Rd, Beckley, WV 25801-3357  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Kristina M. Killen. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1194764415. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Nurse Practitioner53018WV
Data Verified from CMS NPPES Last synced: 2026-08-29 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162