# KATHLEEN M OCONNELL DPM PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KATHLEEN M OCONNELL DPM PC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033459425
- **Legal business name:** KATHLEEN M OCONNELL DPM PC
- **Authorized official:** KATHLEEN M OCONNELL DPM, PC (OWNER)
- **Authorized official phone:** (412) 461-1108

## Contact information

- **Practice address:** 495 E WATERFRONT DRIVE, SUITE 230, HOMESTEAD, PA 15120-1151
- **Practice address phone:** (412) 461-1108
- **Practice address fax:** (412) 461-5490
- **Mailing address:** 495 WATERFRONT DR E, SUITE 230, HOMESTEAD, PA 15120-1140
- **Mailing address phone:** (412) 461-1108
- **Mailing address fax:** (412) 461-5490

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC005681 | PA | Yes |

## Other

- **Enumeration date:** 02/21/2013
- **Last updated:** 09/26/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1033459425 | MC GROUP NPI | PA |