Provider Demographics
NPI:1649978560
Name:KATHRYN MCNEIL MD, PA
Entity type:Organization
Organization Name:KATHRYN MCNEIL MD, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCNEIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-438-2985
Mailing Address - Street 1:4605 CAPE COLONY DR
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79119-6539
Mailing Address - Country:US
Mailing Address - Phone:806-438-2985
Mailing Address - Fax:
Practice Address - Street 1:7105 SW 34TH AVE STE J
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79109-2904
Practice Address - Country:US
Practice Address - Phone:806-352-2742
Practice Address - Fax:806-352-2744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-20
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty