Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Mark Ray Killman, MD

Individual provider Rehabilitation Practitioner · NPI 1194778910

Dr. Mark Ray Killman, MD is a Physical Medicine and Rehabilitation in Independence, Missouri. Graduated from University of Texas Medical School at San Antonio in 1991, 35 years ago. Accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
35
Trained at
University of Texas Medical School at San Antonio
Licensed in
MO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

19550 E 39th St S Ste 415
Independence, MO 64057-2303
Phone: (816) 254-9595
Fax: (816) 836-3810
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X · Licence 107716 (MO)

Record details

NPI number1194778910
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 19, 2006
Last updated in NPPESSeptember 6, 2007
Mailing address14607 Granada St, Leawood, KS 66224-3703

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolUNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Independence