Mcdonald, Kathleen L
Mcdonald, Kathleen L is an individual health care provider with primary practice located at 300 2Nd Ave , Long Branch NJ 07740-6303. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Mcdonald, Kathleen L can be contacted via phone (732) 390-0040.Contact Information
Primary practice address
300 2Nd Ave
Long Branch NJ 07740-6303
Phone: (732) 390-0040
Fax: (732) 955-8874
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nuclear Radiology | 2085N0904X | MA03538300 | New Jersey |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 25MA03538300 | New Jersey |
Profile Details
NPI number | 1346246048 |
---|---|
LBN Legal business name | Mcdonald, Kathleen L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 27th, 2005 |
Last updated | Oct 2nd, 2020 - about 5 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 | 1346246048 | NPPES |
New Jersey | MEDICAID | 7354207 |
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