KFC MEDICAL PLLC
NPI 1215397294
Clinical Neuropsychologist in Plano, TX

NPI Status: Active since March 03, 2016

Contact Information

5045 LORIMAR DR
SUITE 290
PLANO, TX
ZIP 75093
Phone: (972) 403-1463
Fax: (972) 403-1465

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  • Organization
  • Clinical Neuropsychologist

About KFC MEDICAL PLLC

This page provides the complete NPI Profile along with additional information for Kfc Medical Pllc, a provider established in Plano, Texas operating as a Clinical Neuropsychologist. The healthcare provider is registered in the NPI registry with number 1215397294 assigned on March 2016. The practitioner's primary taxonomy code is 103G00000X with license number J8977 (TX). The provider is registered as an organization and their NPI record was last updated 9 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Brian Flanagan Md (Manager)

NPI
1215397294
Provider Name
KFC MEDICAL PLLC
Entity Type
Organization
Location Address
5045 LORIMAR DR SUITE 290 PLANO, TX 75093
Location Phone
(972) 403-1463
Location Fax
(972) 403-1465
Mailing Address
PO BOX 650444 DEPT 121 DALLAS, TX 75265
Mailing Phone
(972) 479-1115
Mailing Fax
(972) 403-1465
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-03-2016
Last Update Date
03-03-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Neuropsychologist

Taxonomy Code
103G00000X
Type
Behavioral Health & Social Service Providers
License No.
J8977
License State
TX
Taxonomy Description
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

BRIAN FLANAGAN MD

Authorized Official Title
MANAGER
Authorized Official Phone
(214) 820-7246

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215397294
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22256914218
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 6 + 9 + 1 + 4 + 2 + 1 + 8 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1215397294 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

DR. GREGORY MARK LUTKE DDS

Dentist

5045 LORIMAR DR
#110
PLANO, TX
ZIP 75093

(972) 378-4141

LIBERTY PHYSICIAN HOUSE CALLS, INC.

Contractor

5045 LORIMAR DR
SUITE 140
PLANO, TX
ZIP 75093

(469) 223-7836

GRACE HOME HEALTH INC

Home Health

5045 LORIMAR DR
SUITE 260
PLANO, TX
ZIP 75093

(469) 326-1700

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215397294, enumerated as an "organization" on March 03, 2016.

The provider is located at 5045 LORIMAR DR SUITE 290 PLANO, TX 75093 and the phone number is (972) 403-1463.

Clinical Neuropsychologist with taxonomy code 103G00000X.