Individual
DR. KATHERINE E. MCGOOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE, FL 32207-8426
(904) 697-3694
(904) 697-3927
Mailing address
PO BOX 191, PROVIDER ENROLLMENT, ROCKLAND, DE 19732-0191
(302) 651-6212
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
127907
NC
2080P0206X
Pediatric Gastroenterology Physician
ME 101395
FL
2080P0206X
Pediatric Gastroenterology Physician
Primary
ME101395
FL
Other
Enumeration date
06/19/2007
Last updated
09/15/2011
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