IndividualActive
Kathleen Mcdonald, PA
NPI 1487763603 · Surgical Physician Assistant · Espanola, NM
Provider details
- NPI number
- 1487763603
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- License
- PA2003-0045 (NM)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1009 Spruce St
Espanola, NM 87532-2740
Phone: (505) 747-4144
Fax: (505) 747-3213
Approximate (ZIP-level) locationGet directions
Mailing address
1009 Spruce St
Espanola, NM 87532-2740
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2013-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.