| 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 |
|---|---|
| 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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