# KATHLEEN B O'BRIEN

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

## Provider details

- **NPI number:** 1861577959
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | C10007503 | DE | — |
| 208000000X | Pediatrics Physician | MD069374L | PA | — |
| 2080S0010X | Pediatric Sports Medicine Physician | C10007503 | DE | — |
| 2080S0010X | Pediatric Sports Medicine Physician | MD069374L | PA | Yes |
| 208M00000X | Hospitalist Physician | MD069374L | PA | — |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 07/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001812378 | — | PA |
| 05 | — | 01812378 (PA) | — | DE |
| 05 | — | 3270009 | — | MD |
| 05 | — | 8283206 | — | NJ |
