Healthcare Provider Details

I. General information

NPI: 1598692071
Provider Name (Legal Business Name): MEGAN COLLEEN-MCKINNEY KATO PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2026
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2670 PORTOBELLO DR
TROY MI
48083-2495
US

IV. Provider business mailing address

7700 FORSYTH BLVD STE 800
SAINT LOUIS MO
63105-1849
US

V. Phone/Fax

Practice location:
  • Phone: 253-240-3117
  • Fax:
Mailing address:
  • Phone: 253-240-3117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5315115808
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number5302040149
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: