Individual
DR. KATHLEEN ELYN O'MARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2000 E LAYTON AVE, ST FRANCIS, WI 53235-6053
(414) 744-6589
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
3970
IA
2085R0202X
Diagnostic Radiology Physician
5101016080
MI
2085R0202X
Diagnostic Radiology Physician
Primary
54446
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010544
—
WI
Enumeration date
05/08/2007
Last updated
07/14/2025
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