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Individual

KATHLEEN T. MCKIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2191
(706) 721-4920
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-6410

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
052362
GA
2080P0214X
Pediatric Pulmonology Physician
Primary
52362
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
596992426A
GA
05
G52362
SC
Enumeration date
08/30/2006
Last updated
10/04/2023
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