Organization
KOH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATE ANN O'HEELAN DO (PHYSICIAN/OWNER)
(401) 475-7650
Entity
Organization
Contact information
Practice address
175 NATE WHIPPLE HWY, SUITE 201, CUMBERLAND, RI 02864-1416
(401) 671-2934
(401) 671-2936
Mailing address
175 NATE WHIPPLE HWY, SUITE 201, CUMBERLAND, RI 02864-1416
(401) 671-2934
(401) 671-2936
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/26/2005
Last updated
10/25/2007
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