Individual
DR. KATE KATHLEEN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
380 GATEWAY DR, SLIDELL, LA 70461-5591
(985) 690-6600
(985) 690-9860
Mailing address
380 GATEWAY DR, SLIDELL, LA 70461-5591
(985) 690-6600
(985) 690-9860
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD016771
LA
207ND0900X
Dermatopathology Physician
16771
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1351733
—
LA
01
—
52344
MEDICARE
LA
Enumeration date
07/21/2006
Last updated
08/07/2013
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