Mcnamara, Kathleen Erina

Mcnamara, Kathleen Erina is an individual health care provider with primary practice located at 619 South Marion Ave , Lake City FL 32025. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Mcnamara, Kathleen Erina can be contacted via phone (386) 755-3016.

Contact Information

Primary practice address
619 South Marion Ave Lake City FL 32025
Phone: (386) 755-3016
Fax: (304) 368-0378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME90147 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME90147 Florida

Profile Details

NPI number 1184639981
LBN Legal business name Mcnamara, Kathleen Erina
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Oct 30th, 2014 - about 11 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 1184639981 NPPES
Florida MEDICAID 270690300

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