Individual
DR. KATHLEEN ELIZABETH O'HARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3019 COIT AVE NE, GRAND RAPIDS, MI 49505-3376
(616) 365-9575
Mailing address
3019 COIT AVE NE, GRAND RAPIDS, MI 49505-3376
(616) 365-9575
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301064198
MI
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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