Individual
KATHLEEN MARY OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
1527 ROUTE 12, GALES FERRY, CT 06335-1800
(860) 464-7253
(860) 464-7404
Mailing address
PO BOX 355, GALES FERRY, CT 06335-0355
(860) 464-7253
(860) 464-7404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002732
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
002732
CT
363LP2300X
Primary Care Nurse Practitioner
002732
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020732
CT CARE
—
01
—
2V6457
HEALTHNET
—
01
—
400002732C703
BCBS
—
Enumeration date
07/26/2005
Last updated
06/08/2023
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