Provider Demographics
NPI:1952480584
Name:MCKEOWN, FRANKLIN ALLEN (ATC)
Entity Type:Individual
Prefix:MR
First Name:FRANKLIN
Middle Name:ALLEN
Last Name:MCKEOWN
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:311 DUCKWORTH PL
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MS
Mailing Address - Zip Code:39073-5006
Mailing Address - Country:US
Mailing Address - Phone:601-519-5007
Mailing Address - Fax:
Practice Address - Street 1:311 DUCKWORTH PL
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MS
Practice Address - Zip Code:39073-5006
Practice Address - Country:US
Practice Address - Phone:601-519-5007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSAT03842255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer