Individual
MRS. KIMBERLY MCKEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
860 E RALPH HALL PKWY STE 21, ROCKWALL, TX 75032-6877
(847) 337-7087
Mailing address
1601 WALNUT ST, COMMERCE, TX 75428-3347
(847) 337-7087
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
1767974
TX
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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