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Individual
KATHLEEN M OCONNELL
Active
Individual
KATHLEEN M OCONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM PC
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
SC005681
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005681
PA
213ES0131X
Foot Surgery Podiatrist
SC005681
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015190430001
—
PA
01
—
1033459425
NPI GROUP NUMBER
PA
Enumeration date
01/12/2006
Last updated
08/16/2013
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