Provider Demographics
NPI:1801509765
Name:MCDONALD, KATE MARIE (CEP)
Entity type:Individual
Prefix:MRS
First Name:KATE
Middle Name:MARIE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:CEP
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Mailing Address - Street 1:107 N LOCUST AVE
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-1709
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:401 YOUNG AVE STE 275
Practice Address - Street 2:
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3141
Practice Address - Country:US
Practice Address - Phone:856-291-8855
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Y00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersClinical Exercise Physiologist