Provider Demographics
NPI:1558463828
Name:MCNALLY, KATHLEEN NONE (DDS)
Entity Type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:NONE
Last Name:MCNALLY
Suffix:
Gender:F
Credentials:DDS
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Other - Credentials:
Mailing Address - Street 1:8901 WISCONSIN AVENUE BLDG 2, 3RD FLOOR, RM 3262
Mailing Address - Street 2:NAVAL POST GRADUATE SCHOOL
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889
Mailing Address - Country:US
Mailing Address - Phone:301-319-8740
Mailing Address - Fax:301-295-9301
Practice Address - Street 1:8901 WISCONSIN AVENUE BLDG 2, 3RD FLOOR, RM 3262
Practice Address - Street 2:NAVAL POST GRADUATE SCHOOL
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889
Practice Address - Country:US
Practice Address - Phone:301-319-8740
Practice Address - Fax:301-295-9301
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD111361223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics