Provider Demographics
NPI:1295836427
Name:MCNEAL, RODNEY E (LP)
Entity Type:Individual
Prefix:DR
First Name:RODNEY
Middle Name:E
Last Name:MCNEAL
Suffix:
Gender:M
Credentials:LP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8014 STATE LINE RD STE 100
Mailing Address - Street 2:
Mailing Address - City:LEAWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:66208-3712
Mailing Address - Country:US
Mailing Address - Phone:913-432-2400
Mailing Address - Fax:913-432-2401
Practice Address - Street 1:8014 STATE LINE RD
Practice Address - Street 2:STE 100
Practice Address - City:LEAWOOD
Practice Address - State:KS
Practice Address - Zip Code:66208-3723
Practice Address - Country:US
Practice Address - Phone:913-432-2400
Practice Address - Fax:913-432-2401
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2019-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS1277103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100098010BMedicaid
KS200443460AMedicaid
KSP00868295OtherMEDICARE RR