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Individual

KATHLEEN M O'BRIEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
8901 UNIVERSITY BLVD, N CHARLESTON, SC 29406-9116
(843) 203-2245
(843) 203-2244
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(843) 789-1620
(843) 724-2440

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2569
SC
363A00000X
Physician Assistant
PA168556
OR

Other

Enumeration date
04/16/2013
Last updated
01/25/2021
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