Individual
MS. KATHRYN K O
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU D
Contact information
Practice address
13161 FERGUSON VALLEY ROAD, YEAGERTOWN, PA 17099
(717) 248-7248
(717) 248-7323
Mailing address
13161 FERGUSON VALLEY ROAD, PO BOX 414, YEAGERTOWN, PA 17099
(717) 248-7248
(717) 248-7323
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AT000772L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01749301
CAPITAL BLUE CROSS
PA
01
—
0291863
HIGHMARK BLUE SHIELD
PA
Enumeration date
04/13/2006
Last updated
07/08/2007
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