Mrs. Kimberly Mckean
Prosthetist
860 E Ralph Hall Pkwy Ste 21
Rockwall
, Texas 75032-6877
Mrs. Kimberly Mckean
Prosthetist
860 E Ralph Hall Pkwy Ste 21
Rockwall
, Texas 75032-6877
(847) 337-7087
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Mrs. Kimberly Mckean
- 1601 Walnut St
- Commerce, TX
- Zip : 75428-3347
- Phone : (847) 337-7087
Second Address
- Mrs. Kimberly Mckean
- 860 E Ralph Hall Pkwy Ste 21
- Rockwall, TX
- Zip : 75032-6877
- Phone : (847) 337-7087
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Is Mrs. Kimberly Mckean a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | 1767974 | TX |
National Provider Identifier
| NPI | 1265916720 |
|---|---|
| Provider Name | Mrs. Kimberly Mckean |
| First Address | Commerce, TX 75428-3347 |
| Second Address | Rockwall, TX 75032-6877 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/09/2018 |
| Last Update Date | 20/09/2018 |
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.