Individual
KATHRYN O'KEEFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
45 HUDSON AVE, GLENS FALLS, NY 12801-4313
(518) 793-4477
Mailing address
45 HUDSON AVE, PO BOX 144, GLENS FALLS, NY 12801-4313
(518) 793-4477
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
153617-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000496210002
BLUE SHIELD
NY
05
—
00785511
—
NY
01
—
040426007605
FIDELIS
NY
01
—
10002780
CDPHP
NY
01
—
15166
MVP
NY
01
—
160012993
RAILROAD MEDICARE
NY
01
—
35F881
BLUE CROSS
NY
Enumeration date
06/10/2005
Last updated
01/07/2021
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