# KATHLEEN MARIE O'CONNELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1790001071
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | MD60553737 | WA | — |
| 2086H0002X | Hospice and Palliative Medicine (Surgery) Physician | MD60553737 | WA | — |
| 2086S0127X | Trauma Surgery Physician | MD60553737 | WA | Yes |

## Other

- **Enumeration date:** 04/12/2010
- **Last updated:** 06/06/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1790001071 | — | WA |