TAMMY DAWN MCKEEHAN


Address: 29888 Highway 84, Malvern, AR 72104-8538
Phone: 5013372622

TAMMY DAWN MCKEEHAN (NPI# 1336748573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336748573
Entity Type Individual
Full Name TAMMY DAWN MCKEEHAN
Practice Address 29888 Highway 84
Malvern
AR 72104-8538
Mailing Address 29970 Highway 84
Malvern
AR 72104-8539
Practice Telephone 5013372622
Mailing Telephone 5013372262
Enumeration Date 2020-10-20
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 29888 HIGHWAY 84
City MALVERN
State AR
Zip Code 72104-8538

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NPI Name Taxonomy Address Enumeration
1659907707 Terrence Randell Mitchell Prosthetist 991 Mount Willow Rd., Malvern, AR 72104 2020-03-20
1356837959 American Oncology Partners, P.a. Internal Medicine 1001 Schneider Dr Ste 105, Malvern, AR 72104 2018-07-06
1114262839 Charloda Nolen Case Manager/Care Coordinator 1710 E Page, Malvern, AR 72104 2012-12-06
1427349257 Malvern Physical Therapy and Wellness Physical Therapist 1601 Hwy 270 W, Suite 104, Malvern, AR 72104 2011-04-27
1194037069 Alternative Opportunities Community/Behavioral Health 1519 East Page Avenue, Malvern, AR 72104 2010-07-08
1285878991 Pro-active Rehab Inc. Physical Therapist 720 Walco Rd, Suite 240, Malvern, AR 72104 2009-04-24
1932380599 Vallerie Ahart Licensed Practical Nurse 1022 East Page, Malvern, AR 72104 2007-11-23
1104013598 Vivian Brown Home Health Aide 913 Magnolia, Malvern, AR 72104 2007-09-28
1467665919 Annette Jean Bowersox Registered Nurse 1399 Jenny Road, Malvern, AK 72104 2007-05-08
1730305798 Jacqueline Kilgore LLC Skilled Nursing Facility 912 Section Line St, Malvern, AR 72104 2007-04-18
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1346855038 Kimberly Ferguson Technician 4103 Reynolds Park Road, Paragould, AR 72450-2118 2020-09-10
1871104182 Michele Lynn Jones Technician 2905 Stonegate Dr, Paragould, AR 72450 2020-08-11
1518584077 Robert Ray Davis Technician 1519 Mulberry Salem Rd, Benton, AR 72019-8253 2020-07-01
1477179422 Bianca Smith Technician 136 Pecan St, Marked Tree, AR 72365-1926 2020-06-24
1508482001 Mid-south Personal Care Agency, LLC Technician 83 Harvard Rd, Marion, AR 72364-9738 2020-06-19
1568098036 Lynn Hodge Technician 18803 Strawberry Plant Rd, Fayetteville, AR 72704-8587 2020-03-17
1225663073 Martha Hall Technician 144 Morningside Drive, Marion, AR 72364 2020-03-11
1053945352 Robert Leroy Johnson Technician 29 Tucker Rd, Hardy, AR 72542-9115 2020-02-25
1700410263 Jessica Smith Technician 4112 Sugar Maple Ln, Little Rock, AR 72223-2161 2020-02-24
1982248605 Ginger R Specking Technician 573 Greene 142 Rd, Lafe, AR 72436 2019-11-06
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Competitor

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City MALVERN
Zip Code 72104

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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