Provider Demographics
NPI:1508196619
Name:MACGREGOR, KATHLEEN TERESE (L AC)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:TERESE
Last Name:MACGREGOR
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:137 W EL ROBLAR DR
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-2208
Mailing Address - Country:US
Mailing Address - Phone:805-646-6581
Mailing Address - Fax:
Practice Address - Street 1:137 W EL ROBLAR DR
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-2208
Practice Address - Country:US
Practice Address - Phone:805-646-6581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-12
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3407171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist