Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | D29640 | MD |
N | 207X00000X | Orthopaedic Surgeon | MD12042 | DC |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 0101034937 | VA |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | D29640 | MD |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | MD12042 | DC |
NPI | 1922024793 |
---|---|
Provider Name | Dr. Kathleen Ann Mchale |
First Address | Rockville, MD 20850-8726 |
Second Address | Rockville, MD 20850-8726 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2006 |
Last Update Date | 24/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B93573 | (02) | VA |