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NPI Code Detail

MEDICARE: ANGELA MCKEAN

MEDICARE: ANGELA MCKEAN
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
1225100000XPhysical Therapist29280CA

General Provider Information

NPI Number : 1770608739
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA MCKEAN
Provider Business Mailing Address
First Line : 720 COOL SPRINGS BLVD
Second Line : SUITE 300
City : FRANKLIN
State : TN
Zip : 37067-2626
Country : US
Telephone Number : 615-778-4066
Fax Number : 615-778-9114
Provider Business Practice Location Address
First Line : 2555 S EAST AVE
Second Line :
City : FRESNO
State : CA
Zip : 93706-5104
Country : US
Telephone Number : 615-778-4066
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 04/24/2025

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Directions to “ ANGELA MCKEAN ” Practice Location

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