Provider Demographics
NPI:1144203514
Name:MCGRAW, KATHERINE ELIZABETH (MD)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:ELIZABETH
Last Name:MCGRAW
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:PO BOX 459
Mailing Address - Street 2:
Mailing Address - City:MITCHELL
Mailing Address - State:SD
Mailing Address - Zip Code:57301-0459
Mailing Address - Country:US
Mailing Address - Phone:605-630-0407
Mailing Address - Fax:
Practice Address - Street 1:1200 S BURR ST STE B
Practice Address - Street 2:
Practice Address - City:MITCHELL
Practice Address - State:SD
Practice Address - Zip Code:57301-4585
Practice Address - Country:US
Practice Address - Phone:605-292-0695
Practice Address - Fax:605-292-0699
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL9352208000000X
SD7119208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD6702170Medicaid
SD6702170Medicaid