Mcdonald, Kathleen A

Mcdonald, Kathleen A is an individual health care provider with primary practice located at 1009 Spruce St , Espanola NM 87532-2740. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Mcdonald, Kathleen A can be contacted via phone (505) 747-4144.

Contact Information

Primary practice address
1009 Spruce St Espanola NM 87532-2740
Phone: (505) 747-4144
Fax: (505) 747-3213
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA2003-0045 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA2003-0045 New Mexico

Profile Details

NPI number 1487763603
LBN Legal business name Mcdonald, Kathleen A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Apr 2nd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487763603 NPPES
New Mexico MEDICAID 67289258

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