Mcqueen, Kathryn Ann Kelly
Mcqueen, Kathryn Ann Kelly is an individual health care provider with primary practice located at 600 Highland Ave , Madison WI 53792-0028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Mcqueen, Kathryn Ann Kelly can be contacted via phone (608) 263-8100.Contact Information
Primary practice address
600 Highland Ave
Madison WI 53792-0028
Phone: (608) 263-8100
Fax: (615) 936-6493
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 21290 | Arizona |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD48697 | Tennessee |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 71988-20 | Wisconsin |
Profile Details
| NPI number | 1972574168 |
|---|---|
| LBN Legal business name | Mcqueen, Kathryn Ann Kelly |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2006 |
| Last updated | Jan 22nd, 2021 - about 3 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 | 1972574168 | NPPES |
| Arizona | MEDICAID | 358326 | |
| Arizona | Other | 050060902 |
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