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Organization

KATHLEEN M OCONNELL DPM PC

Active
Parent organization
KATHLEEN M OCONNELL DPM PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
KATHLEEN M OCONNELL DPM PC
Authorized official
KATHLEEN M OCONNELL DPM, PC (OWNER)
(412) 461-1108
Entity
Organization

Contact information

Practice address
495 E WATERFRONT DRIVE, SUITE 230, HOMESTEAD, PA 15120-1151
(412) 461-1108
(412) 461-5490
Mailing address
495 WATERFRONT DR E, SUITE 230, HOMESTEAD, PA 15120-1140
(412) 461-1108
(412) 461-5490

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC005681
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1033459425
MC GROUP NPI
PA
Enumeration date
02/21/2013
Last updated
09/26/2024
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