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Individual

JIMMIE D MCKEAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPO-CP

Contact information

Practice address
5222 BURNET RD STE 400, AUSTIN, TX 78756-2432
(512) 302-4838
Mailing address
5222 BURNET RD STE 400, AUSTIN, TX 78756-2432
(512) 302-4838

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
08/26/2009
Last updated
08/26/2009
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