Individual
DR. KATHLEEN ANN O'HEELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 415-9000
Mailing address
375 ALLENS AVE, PROVIDENCE, RI 02905-5010
(401) 444-0400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO00601
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174513451
—
RI
Enumeration date
10/26/2005
Last updated
12/28/2023
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