Individual
MS. KATHLEEN A O'CONNOR-MULLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1825 MAPLE RD, SUITE LLB, WILLIAMSVILLE, NY 14221-2723
(716) 204-4532
Mailing address
15 METZGER DR, ORCHARD PARK, NY 14127-2018
(716) 662-0269
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F3311582
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01701160
—
NY
Enumeration date
05/10/2006
Last updated
07/08/2007
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