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

Ronald Bernard Killian, DPM

Individual provider Podiatrist · NPI 1205813565

Ronald Bernard Killian, DPM is a Podiatry in Lake Havasu City, Arizona. Graduated from California School of Podiatric Medicine in 1999, 27 years ago. Practices with Lakeside Orthopedic Institute LLC, a 13-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
27
Trained at
California School of Podiatric Medicine
Licensed in
AZ
In the registry since
2005
Specialties on file
2
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

25 Riviera Blvd
Lake Havasu City, AZ 86403-5694
Phone: (928) 505-5555
Fax: (928) 505-2877
Show map & directions

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

Specialties & licences

Foot & Ankle Surgery Podiatrist (primary) Taxonomy 213ES0103X · Licence 0554 (AZ)
Podiatrist Taxonomy 213E00000X · Licence 0554 (AZ)

Record details

NPI number1205813565
Entity typeIndividual (Type 1)
GenderMale
Credentials DPM
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESJuly 16, 2012

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolCALIFORNIA SCHOOL OF PODIATRIC MEDICINE
Graduated 1999 (27 years in practice)
Group practice Lakeside Orthopedic Institute Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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