Individual
KENNETH O'MEARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPO, LPO
Contact information
Practice address
11809 DOMAIN DR UNIT 100, AUSTIN, TX 78758-3452
(737) 707-0058
Mailing address
428 ROPER ST, GEORGETOWN, TX 78626-2637
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
1952
TX
224P00000X
Prosthetist
Primary
1952
TX
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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