Provider Demographics
NPI:1558749291
Name:MCKNEE, SEAN STEVEN (DC)
Entity Type:Individual
Prefix:DR
First Name:SEAN
Middle Name:STEVEN
Last Name:MCKNEE
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5855 GREEN VALLEY CIR STE 106
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90230-6965
Mailing Address - Country:US
Mailing Address - Phone:310-730-3423
Mailing Address - Fax:
Practice Address - Street 1:5855 GREEN VALLEY CIR STE 106
Practice Address - Street 2:
Practice Address - City:CULVER CITY
Practice Address - State:CA
Practice Address - Zip Code:90230-6965
Practice Address - Country:US
Practice Address - Phone:310-730-3423
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA33771111N00000X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor