Individual
KATHRYN ANNE O'CONNELL (JORDAN)
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2001 MEDICAL PKWY, ANNAPOLIS, MD 21401-3280
(443) 481-1000
(443) 481-1687
Mailing address
PO BOX 12622, BELFAST, ME 04915-4017
(443) 481-6569
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
D68426
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
441161700
—
MD
01
—
607156012
DEPT OF LABOR
—
01
—
607156014
FEDERAL BLACK LUNG
—
01
—
97572501
BCBS
MD
01
—
V8260031
BCBS
DC
Enumeration date
05/18/2007
Last updated
12/31/2013
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