Individual
KATHLEEN ERIN O'MEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, ST. PAUL, MN 55101
(651) 254-3456
Mailing address
1552 30TH ST, HOULTON, WI 54082-2124
(715) 549-9123
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
085079
MN
Other
Enumeration date
10/07/2010
Last updated
10/15/2010
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