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Contact Information

KATHLEEN A MCDONALD, PA
1009 SPRUCE ST
ESPAÑOLA, NM87532-2740
 Phone: 505-747-4144
 Fax: 505-747-3213
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHLEEN A MCDONALD · (Female)

NPI Number 1487763603
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 08/30/2006
Last updated 04/02/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • NM License # PA2003-0045
  • NM Medicaid 67289258
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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