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NPI Code Detail

MEDICARE: CATHERINE PIERCE MCKEGNEY MD

MEDICARE: CATHERINE PIERCE MCKEGNEY MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician51028IA
2207Q00000XFamily Medicine Physician26986MN

General Provider Information

NPI Number : 1205805777
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE PIERCE MCKEGNEY MD
Provider Business Mailing Address
First Line : 671 VANDALIA ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55114-1312
Country : US
Telephone Number :
Fax Number : 651-698-2405
Provider Business Practice Location Address
First Line : 671 VANDALIA ST
Second Line :
City : SAINT PAUL
State : MN
Zip : 55114-1312
Country : US
Telephone Number : 651-698-2406
Fax Number : 651-698-2405
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2006
Last Update Date : 04/04/2023

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