Provider Demographics
NPI:1578918165
Name:MCKEATING, CATHLEEN KENARY (MD)
Entity Type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:KENARY
Last Name:MCKEATING
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:75 FRANCIS STREET CWN L1
Mailing Address - Street 2:BWH, DEPARTMENT OF ANESTHESIA
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:617-732-8210
Mailing Address - Fax:617-277-2192
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:DEPARTMENT OF ANESTHESIOLOGY, CWN-L1
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-6110
Practice Address - Country:US
Practice Address - Phone:617-732-8218
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MA282230207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program