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

Kathryn Jo McNally

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1265169510

Kathryn Jo McNally is a Physician Assistant in Davenport, Iowa. Qualified in 2023, 3 years ago. Practices with Stoughton Hospital Association, a 66-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
3
Licensed in
WI
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

1937 Washington St Apt 24
Davenport, IA 52804-2162
Phone: (815) 993-7072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7799-23 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1265169510
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 5, 2022
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024
Mailing address5676 Stateline Rd, South Beloit, IL 61080-9512

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Stoughton Hospital Association — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Davenport