Mcqueen, Kathryn Ann Kelly

Mcqueen, Kathryn Ann Kelly is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Mcqueen, Kathryn Ann Kelly can be contacted via phone (608) 263-8100.

Contact Information

Primary practice address
600 Highland Ave Madison WI 53792-0028
Phone: (608) 263-8100
Fax: (615) 936-6493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 21290 Arizona
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD48697 Tennessee
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 71988-20 Wisconsin

Profile Details

NPI number 1972574168
LBN Legal business name Mcqueen, Kathryn Ann Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jan 22nd, 2021 - about 5 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 1972574168 NPPES
Arizona MEDICAID 358326
Arizona Other 050060902

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