# KATHLEEN M OCONNELL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1972582476
- **Gender:** F
- **Credential:** DPM PC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213E00000X | Podiatrist | SC005681 | PA | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | SC005681 | PA | Yes |
| 213ES0131X | Foot Surgery Podiatrist | SC005681 | PA | — |

## Other

- **Enumeration date:** 01/12/2006
- **Last updated:** 08/16/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1015190430001 | — | PA |
| 01 | — | 1033459425 | NPI GROUP NUMBER | PA |