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Individual

KRISTIN O'HARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
489 BEARSES WAY, UNIT A-4, HYANNIS, MA 02601-2707
(508) 771-4092
(508) 771-9466
Mailing address
98 DEERFOOT CIR, MASHPEE, MA 02649-2440
(508) 801-3260

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1439
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PA1439
STATE OF MAINE
ME
01
PA5292
STATE LICENSE
MA
Enumeration date
12/19/2013
Last updated
02/16/2016
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