Individual
KATHRYN CAROL O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3302 S NEW HOPE RD STE 100B, GASTONIA, NC 28056
(704) 879-4936
Mailing address
3302 S NEW HOPE RD STE 100B, GASTONIA, NC 28056-8317
(704) 879-4936
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-08373
NC
363A00000X
Physician Assistant
019197
NY
Other
Enumeration date
11/19/2015
Last updated
06/13/2019
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