Individual
KATHLEEN MOIRA MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 S SAN MATEO DR, SAN MATEO, CA 94401-3805
(650) 696-4515
Mailing address
PO BOX 6102, NOVATO, CA 94948-6102
(415) 884-3404
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
G67306
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G673060
—
CA
01
—
300121871
RAILROAD MEDICARE
CA
Enumeration date
06/21/2006
Last updated
03/19/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us