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Individual

KATHLEEN M. OLEARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
8105 RITCHIE HWY, PASADENA, MD 21122-3905
(443) 573-0564
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
(860) 545-9622

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R145767
MD
363LP0200X
Pediatric Nurse Practitioner
003019
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
004242608
CT
Enumeration date
07/28/2005
Last updated
08/13/2019
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