Richard A Kean (NPI# 1154412336, PAC ID# 8426148958) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is MAXILLOFACIAL SURGERY.
| Nation Provider ID (NPI) | 1154412336 |
| PAC ID by PECOS | 8426148958 |
| Professional Enrollment ID | I20080515000382 |
| Full Name | Richard A Kean |
| Organization Legal Name | ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES |
| Address |
620 Mcqueen Smith Rd N Prattville AL 36066-7511 |
| Phone Number | 3343580052 |
| Gender | M |
| Medical School | UNIV OF ALABAMA AT BIRMINGHAM SCHOOL OF DENTISTRY |
| Graduation Year | 1996 |
| Primary Specialty | MAXILLOFACIAL SURGERY |
| Secondary Specialties | DENTIST, ORAL SURGERY |
| Group Practice PAC ID | 9335162478 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110076 | DEKALB MEDICAL CENTER |
| 010023 | BAPTIST MEDICAL CENTER SOUTH |
| Address | Phone | Organization |
|---|---|---|
| 7200 Halcyon Summit Dr, Montgomery, AL 36117-7047 | 3342773492 | ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES |
| 620 Mcqueen Smith Rd N, Prattville, AL 36066-7511 | 3343580052 | ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES |
| Organization Legal Name | ORAL AND MAXILLOFACIAL SURGERY ASSOCIATES |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald L Ingalls | Oral Surgery | Oral and Maxillofacial Surgery Associates | 7200 Halcyon Summit Dr, Montgomery, AL 36117-7047 |
| Jeremiah J Parker | Maxillofacial Surgery | Oral and Maxillofacial Surgery Associates | 620 Mcqueen Smith Rd N, Prattville, AL 36066-7511 |
| Matthew W Johnson | Maxillofacial Surgery | Oral and Maxillofacial Surgery Associates | 620 Mcqueen Smith Rd N, Prattville, AL 36066-7511 |
| Street Address |
620 MCQUEEN SMITH RD N |
| City | PRATTVILLE |
| State | AL |
| Zip | 36066-7511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremiah J Parker | Maxillofacial Surgery | Oral and Maxillofacial Surgery Associates | 620 Mcqueen Smith Rd N, Prattville, AL 36066-7511 |
| Matthew W Johnson | Maxillofacial Surgery | Oral and Maxillofacial Surgery Associates | 620 Mcqueen Smith Rd N, Prattville, AL 36066-7511 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer H Mann | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Meloni N Carter | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Wendy Mcfarland Cavey | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Maarten Wybenga | Family Medicine | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Amy M Wybenga | Nurse Practitioner | Wybenga Family Healthcare, Inc. | 564 N Memorial Dr, Prattville, AL 36066-2132 |
| Alexander C Whitley | Radiation Oncology | Central Alabama Radiation Oncology | 585 Jasmine Trl, Prattville, AL 36066-3657 |
| Robert Lee Franklin | Radiation Oncology | Central Alabama Radiation Oncology | 585 Jasmine Trl, Prattville, AL 36066-3657 |
| Leigh Anne Luna | Nurse Practitioner | Alabama Post-acute Medical Service 1 PC | 601 Jasmine Trl, Prattville, AL 36066-3661 |
| Melanie A Lawrenc | Optometry | Barry J Mcnamara Od PC | 605 Jasmine Trl, Prattville, AL 36066-3661 |
| George N Eischens | Optometry | Barry J Mcnamara Od PC | 605 Jasmine Trl, Prattville, AL 36066-3661 |
| Find all physicians in zip 36066 | |||
| City | PRATTVILLE |
| Zip Code | 36066 |
| Specialty | MAXILLOFACIAL SURGERY |
| City + Specialty | PRATTVILLE + MAXILLOFACIAL SURGERY |
Please comment or provide details below to improve the information on Richard A Kean.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.