Kip Queenan MD, PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KIP QUEENAN MD, PLLC

Practice address

16479 Dallas Pkwy
Suite 320
Addison, TX 75001-6825

Phone

(469) 484-4264

NPI assigned

Aug 22, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kip E. Queenan, M.D.

Title

Manager

Phone

(469) 484-4264

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marty Neal Bennett, MD

  • Psychiatry Physician
  • Addison, TX
  • NPI 1487616272
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372204800000",
    "number": "1619160603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16479 DALLAS PKWY",
            "address_2": "SUITE 320",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016825",
            "telephone_number": "469-484-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16479 DALLAS PKWY",
            "address_2": "SUITE 320",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750016825",
            "telephone_number": "469-484-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIP QUEENAN MD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2013-06-26",
        "status": "A",
        "authorized_official_last_name": "QUEENAN",
        "authorized_official_first_name": "KIP",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "469-484-4264",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leroy Kyoungman Kim, M.D.
• Michal Kimball, COTA
• Vanessa King, LPC-ASSOCIATE
• Dayna Kinney, PMHNP-BC
• Kintrol Rehab and Sportrs Performance
• Holland Kitten, DPT
• KMS Health Inc (Bristol Hospice - Dallas)
• Krystal Knight
• Knoll Trail Pain Procedure Center
• Christopher Brandond Knutson, D.C.

• Psychiatry Physician in Addison, TX
• Providers in Addison, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.