Individual provider · Type 1 NPI
Jack Irvin Killman, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · Bowling Green, KY
NPI number
1124887534
Active
Practice location
380 Suwannee Trail St
Bowling Green, KY 42103-7956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4036621 (KY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124887534
Jack Irvin Killman, PMHNP-BC's National Provider Identifier is 1124887534, issued on Mar 18, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Bowling Green, KY. The record was last updated on Jul 22, 2026.