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

Mr. Michael Edward Killen, CRNA

Individual provider Certified Registered Nurse Anesthetist · NPI 1306023270

Mr. Michael Edward Killen, CRNA is a Certified Registered Nurse Anesthetist (CRNA) in Vicksburg, Mississippi. Qualified in 2007, 19 years ago. Practices with Lifelinc Anesthesia PLLC, a 167-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
19
Licensed in
MS
In the registry since
2008
What do these letters mean?
CRNA — Certified Registered Nurse Anesthetist
An advanced practice nurse who administers anaesthesia.

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Practice location Address checks out

2100 Highway 61 N
Vicksburg, MS 39183-8211
Phone: (601) 883-5707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 S 28th Ave, Hattiesburg, MS 39401-7246 — (601) 264-6000

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence R864279 (MS)

Record details

NPI number1306023270
Entity typeIndividual (Type 1)
GenderMale
Credentials CRNA
Sole proprietorNo
NPI enumeratedJanuary 23, 2008
Last updated in NPPESAugust 25, 2023
Certification dateAugust 25, 2023
Mailing address2100 Highway 61 N, Vicksburg, MS 39183-8211

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Lifelinc Anesthesia Pllc — 167 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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