Mckenney, Carl K

Mckenney, Carl K is an individual health care provider with primary practice located at 2306 Ridge Rd , Rockwall TX 75087-5140. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mckenney, Carl K can be contacted via phone (972) 771-8316.

Contact Information

Primary practice address
2306 Ridge Rd Rockwall TX 75087-5140
Phone: (972) 771-8316
Fax: (972) 722-9214
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X D5793 Texas

Profile Details

NPI number 1225023831
LBN Legal business name Mckenney, Carl K
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Mar 26th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225023831 NPPES
Texas MEDICAID 123629102
Texas MEDICAID 084483902
Texas MEDICAID 084483901
Texas MEDICAID 123629105

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