Macdonald, Kerry R

Macdonald, Kerry R is an individual health care provider with primary practice located at 4301 Wilson St , Fort Sill OK 73503-4472. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Macdonald, Kerry R can be contacted via phone (805) 558-3414.

Contact Information

Primary practice address
4301 Wilson St Fort Sill OK 73503-4472
Phone: (805) 558-3414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2962 New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4647 Oklahoma
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1129815 Texas

Profile Details

NPI number 1336158898
LBN Legal business name Macdonald, Kerry R
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jan 2nd, 2024 - about last year

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 1336158898 NPPES
New Mexico MEDICAID 13602012
New Mexico Other NM00Q469

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