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NPI Code Detail

MEDICARE: KESHA MCCLANAHAN

MEDICARE:   KESHA  MCCLANAHAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1720939036
Entity Type Code : Individual
Provider Name (Legal Business Name) : KESHA MCCLANAHAN
Provider Business Mailing Address
First Line : 4818 EDFIELD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77033-3508
Country : US
Telephone Number : 832-681-1261
Fax Number :
Provider Business Practice Location Address
First Line : 4818 EDFIELD ST
Second Line :
City : HOUSTON
State : TX
Zip : 77033-3508
Country : US
Telephone Number : 832-681-1261
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/04/2026

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Directions to “ KESHA MCCLANAHAN ” Practice Location

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