Macmenamin, Kathleen Opdebeeck

Macmenamin, Kathleen Opdebeeck is an individual health care provider with primary practice located at 1026 A Ave Ne , Cedar Rapids IA 52402-5036. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Macmenamin, Kathleen Opdebeeck can be contacted via phone (319) 369-7908.

Contact Information

Primary practice address
1026 A Ave Ne Cedar Rapids IA 52402-5036
Phone: (319) 369-7908
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 24133 Iowa

Profile Details

NPI number 1841355104
LBN Legal business name Macmenamin, Kathleen Opdebeeck
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2006
Last updated Jul 8th, 2007 - about 17 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 1841355104 NPPES
Iowa MEDICAID 0217869

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