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Individual

KATHLEEN MCDONALD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
64 RIDGWAY DR, DALLAS, PA 18612-9263
(570) 255-4578
Mailing address
507 LILY LAKE RD, WAPWALLOPEN, PA 18660-8842
(570) 255-4578

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
TEI005304
PA

Other

Enumeration date
09/10/2025
Last updated
10/24/2025
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