Individual
DR. KATHLEEN ANN O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
164 WACCAMAW MEDICAL PARK DR, CONWAY, SC 29526-8903
(843) 347-5060
Mailing address
525 LAFAYETTE CIR, GEORGETOWN, SC 29440-2569
(843) 546-6107
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
055412
GA
2084P0800X
Psychiatry Physician
Primary
24236
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
327877
—
SC
Enumeration date
11/06/2006
Last updated
01/26/2016
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