Individual
KATHRYN ANN KELLY MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
21290
AZ
207L00000X
Anesthesiology Physician
Primary
71988-20
WI
207L00000X
Anesthesiology Physician
MD48697
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050060902
MEDICARE RAILROAD
—
05
—
358326
—
AZ
Enumeration date
01/27/2006
Last updated
01/22/2021
Update your record
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