Provider Demographics
NPI:1740412113
Name:KILLION, STEVEN (DC)
Entity type:Individual
Prefix:
First Name:STEVEN
Middle Name:
Last Name:KILLION
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:665 JOHN ADAMS PKWY
Mailing Address - Street 2:
Mailing Address - City:IDAHO FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83401-4072
Mailing Address - Country:US
Mailing Address - Phone:208-938-1505
Mailing Address - Fax:
Practice Address - Street 1:1097 N ROSARIO ST
Practice Address - Street 2:SUITE 101
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-8004
Practice Address - Country:US
Practice Address - Phone:208-938-1505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1377111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor