Individual
KIP EDWARD QUEENAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 E STREET M/MED/DMD/QM SA-1, WASHINGTON, DC 20522-0102
(202) 663-1534
Mailing address
2401 E STREET M/MED/DMD/QM SA-1, WASHINGTON, DC 20522-0102
(202) 663-1534
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
L5520
TX
Other
Enumeration date
04/04/2006
Last updated
12/26/2019
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