Provider Demographics
NPI:1114919388
Name:MCKEATHERN, MARGARET ALVERTA (MD)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ALVERTA
Last Name:MCKEATHERN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:WRNMMC
Mailing Address - Street 2:8901 WISCONSIN AVE, BLDG 19, RM 4344
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-295-8031
Mailing Address - Fax:301-319-8914
Practice Address - Street 1:NATIONAL NAVAL MED CTR
Practice Address - Street 2:8901 WISCONSIN AVE
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-0001
Practice Address - Country:US
Practice Address - Phone:301-295-0576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2024-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01010413932084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry