Kip Queenan Md, Pllc | |
16479 Dallas Pkwy Suite 320 Addison TX 75001-6825 | |
(469) 484-4264 | |
Not Available |
Full Name | Kip Queenan Md, Pllc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 16479 Dallas Pkwy, Addison, Texas |
Authorized Official Name and Position | Kip E. Queenan (MANAGER) |
Authorized Official Contact | 4694844264 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kip Queenan Md, Pllc 16479 Dallas Pkwy Suite 320 Addison TX 75001-6825 Ph: (469) 484-4264 | Kip Queenan Md, Pllc 16479 Dallas Pkwy Suite 320 Addison TX 75001-6825 Ph: (469) 484-4264 |
NPI Number | 1619160603 |
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Provider Enumeration Date | 08/22/2007 |
Last Update Date | 06/26/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619160603 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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