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NPI Code Detail

MEDICARE: DR. KATHLEEN B MCLEOD FNP-BC

MEDICARE: DR. KATHLEEN B MCLEOD FNP-BC
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
1363LF0000XFamily Nurse PractitionerAP1315AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1720054992
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KATHLEEN B MCLEOD FNP-BC
Provider Business Mailing Address
First Line : 5210 E FARNESS DR
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2140
Country : US
Telephone Number : 520-525-9433
Fax Number : 520-849-7441
Provider Business Practice Location Address
First Line : 5210 E FARNESS DR
Second Line :
City : TUCSON
State : AZ
Zip : 85712-2140
Country : US
Telephone Number : 520-525-9433
Fax Number : 520-849-7441
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2006
Last Update Date : 03/12/2025

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