MEDICARE: MS. KATHERINE MCCARTY DC

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
1	111N00000X	Chiropractor	4472	NC
2	111N00000X	Chiropractor	33401	CA

General Provider Information

NPI Number	:	1083026611
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KATHERINE MCCARTY DC

Provider Business Mailing Address
First Line	:	644 LAGUNA ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-4217
Country	:	US
Telephone Number	:	415-626-5433
Fax Number	:

Provider Business Practice Location Address
First Line	:	644 LAGUNA ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94102-4217
Country	:	US
Telephone Number	:	415-626-5433
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/02/2014
Last Update Date	:	02/08/2023

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