Macdonald, Kathleen Sara

Macdonald, Kathleen Sara is an individual health care provider with primary practice located at 455 Saint Michaels Dr , Santa Fe NM 87505-7601. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Anesthesiology is her primary health care specialty. Macdonald, Kathleen Sara can be contacted via phone (802) 316-1644.

Contact Information

Primary practice address
455 Saint Michaels Dr Santa Fe NM 87505-7601
Phone: (802) 316-1644
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 042-0011744 Vermont
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 13976 New Hampshire
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 060-0003303 Vermont
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X MD2019-0974 New Mexico

Profile Details

NPI number 1275650517
LBN Legal business name Macdonald, Kathleen Sara
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2007
Last updated Jun 19th, 2024 - about 5 months 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 1275650517 NPPES
Vermont MEDICAID 1015178
Vermont MEDICAID 30207851

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