Mccollum, Kathleen Ann
Mccollum, Kathleen Ann is an sole proprietor health care provider with primary practice located at 1025 N Country Club Dr , Mesa AZ 85201-3307. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Mccollum, Kathleen Ann can be contacted via phone (480) 472-0562.Contact Information
Primary practice address
1025 N Country Club Dr
Mesa AZ 85201-3307
Phone: (480) 472-0562
Fax: (480) 472-0796
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 025557 | Arizona |
Profile Details
| NPI number | 1487785846 |
|---|---|
| LBN Legal business name | Mccollum, Kathleen Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 8th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487785846 | NPPES |
| Arizona | MEDICAID | 648230 |
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