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Individual
KATHLEEN O'HANLON
Active
Individual
KATHLEEN O'HANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15178
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0052496000
—
WV
05
—
0741915
—
OH
05
—
64699606
—
KY
Enumeration date
04/03/2006
Last updated
11/24/2021
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