Provider Demographics
NPI:1083026611
Name:MCCARTY, KATHERINE (DC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:
Last Name:MCCARTY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:644 LAGUNA ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-4217
Mailing Address - Country:US
Mailing Address - Phone:415-626-5433
Mailing Address - Fax:
Practice Address - Street 1:644 LAGUNA ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4217
Practice Address - Country:US
Practice Address - Phone:415-626-5433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-02
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4472111N00000X
CA33401111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2457657AMedicare UPIN
NCNC1744AMedicare PIN