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Organization

KIP QUEENAN MD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIP E. QUEENAN M.D. (MANAGER)
(469) 484-4264
Entity
Organization

Contact information

Practice address
16479 DALLAS PKWY, SUITE 320, ADDISON, TX 75001-6825
(469) 484-4264
Mailing address
16479 DALLAS PKWY, SUITE 320, ADDISON, TX 75001-6825
(469) 484-4264

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
08/22/2007
Last updated
06/26/2013
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