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AMY B. KILLEN M.D.
NPI 1992779185
General Practice in Draper, UT

Active since February 14, 2006PECOS Enrolled
12340 S 450 E, DRAPER, UT 84020(801) 501-9797(801) 501-9799 Get Directions Write a Review

NPPES record last updated: April 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amy B. Killen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMY B. KILLEN M.D. (NPI 1992779185) is an individual general practice provider in Draper, Utah, licensed in Utah (9140981-1205) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992779185
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameAMY B. KILLENCredential: M.D.
Location Address12340 S 450 EDraper, UT 84020-8154
Mailing Address12340 S 450 EDraper, UT 84020-8154 · (801) 501-9797 · Fax (801) 501-9799
Phone(801) 501-9797
Fax(801) 501-9799
Sole ProprietorNo
Enumeration DateFebruary 14, 2006
Last NPPES UpdateApril 28, 2016
✔ NPI 1992779185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in UT · 9140981-1205
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License 33810 (AZ)
12340 S 450 E, Draper, UT 84020
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Other Identifiers 3

Medicare ID-Type Unspecified106991
Medicare UPINI36092
Medicaid947509AZ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amy B. Killen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NICOLE KELLY P.A.-C
Physician Assistant
12340 S 450 E
DRAPER, UT 84020
Salt Lake County (801) 501-9797
MRS. LAURIE CHILDS PA-C
Physician Assistant (Medical)
12340 S 450 E
DRAPER, UT 84020
Salt Lake County (801) 501-9797
QUINTESSENCE HEALTH AND WELLNESS
Anesthesiology (Pain Medicine)
12340 S 450 E
DRAPER, UT 84020
Salt Lake County (801) 930-9381
BIORESTORATION MEDICAL
Family Medicine
12340 S 450 E
DRAPER, UT 84020
Salt Lake County (801) 501-9797

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amy Killen's NPI number?

The NPI number for Amy Killen is 1992779185. It was assigned to this individual provider in the NPPES registry on February 14, 2006.

Where is Amy Killen located?

Amy Killen practices at 12340 S 450 E, Draper, UT 84020. The listed phone number is (801) 501-9797.

What is Amy Killen's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Amy Killen enrolled in Medicare?

Yes. Amy Killen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Amy Killen was last updated on April 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.