Amanda Killeen
Podiatrist
5323 Harry Hines Blvd # F4.310
Dallas
, Texas 75390-0001
Amanda Killeen
Podiatrist
5323 Harry Hines Blvd # F4.310
Dallas
, Texas 75390-0001
(214) 648-7284
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About
Features
Specialties
- Podiatrist
Languages spoken
- English
Location
First Address
- Amanda Killeen
- 5323 Harry Hines Blvd # F4.124
- Dallas, TX
- Zip : 75390-7208
- Phone : (214) 648-7284
Second Address
- Amanda Killeen
- 5323 Harry Hines Blvd # F4.310
- Dallas, TX
- Zip : 75390-0001
- Phone : (435) 668-9258
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 2383 | TX |
| Y | 222Z00000X | Podiatrist | 2383 | TX |
National Provider Identifier
| NPI | 1033668173 |
|---|---|
| Provider Name | Amanda Killeen |
| First Address | Dallas, TX 75390-7208 |
| Second Address | Dallas, TX 75390-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 30/09/2016 |
| Last Update Date | 28/09/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.