Individual
DR. KATHRYN K MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HEALTH CARE DR, GREENVILLE, IL 62246-1154
(618) 664-1230
Mailing address
627 NORFOLK DR, SAINT LOUIS, MO 63122-3051
(314) 966-4522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036085908
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
930014470
RAILROAD MEDICARE
IL
Enumeration date
02/09/2007
Last updated
05/10/2019
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