Individual
KATHLEEN M O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
705 RILEY HOSPITAL DR, RR 307, INDIANAPOLIS, IN 46202-5109
(317) 274-2172
(317) 278-3031
Mailing address
PO BOX 1026, INDIANAPOLIS, IN 46206-1026
(317) 274-1201
(317) 278-9905
Taxonomy
Speciality
Code
Description
License number
State
2080P0216X
Pediatric Rheumatology Physician
Primary
01070572
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201052410
—
IN
Enumeration date
03/14/2006
Last updated
03/30/2012
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