Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 10911 | TX |
NPI | 1003827379 |
---|---|
Provider Name | Dr. Kevin F Kean |
First Address | Houston, TX 77056-3471 |
Second Address | Houston, TX 77056-3471 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2006 |
Last Update Date | 24/03/2009 |