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Katherine Mccardle
NPI 1700049319 · on the registry since 2008 · sole proprietor
Practice
- Address
- 69 Pine Tree Rd
Ellisville, MS 39437 - Phone
- (601) 606-0061
Additional practice sites
- 15600 San Pedro Ave, San Antonio, TX
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Also registered as
- 224Z00000X
- Licence states on file
- TX, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-03-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi