Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathleen Maccarthy Demanivel, MD

Individual provider Dermatology Physician · NPI 1477543957

Dr. Kathleen Maccarthy Demanivel, MD is a Dermatology Physician in Maple Grove, Minnesota. Licensed in Minnesota. Registered with an NPI since 2005.

Licensed in
MN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

14500 99th Ave N
Maple Grove, MN 55369-4478
Phone: (763) 898-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 31117 (MN)

Record details

NPI number1477543957
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 25, 2005
Last updated in NPPESAugust 13, 2012

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