Tammy Dawn McKeehan
Technician, Attendant Care Provider in Malvern, AR. Individual provider (NPI-1).
NPI number1336748573
StatusActive
Last updated in NPPESOct 20, 2020
Details
- NPI
- 1336748573
- Entity type
- Individual (NPI-1)
- Name
- Tammy Dawn McKeehan
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 20, 2020
- Certification date
- Oct 20, 2020
- Last updated
- Oct 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
29888 Highway 84Malvern, AR 72104-8538
Phone 501-337-2622
Mailing address
29970 Highway 84Malvern, AR 72104-8539
Phone 501-337-2262
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