Individual
KATHLEEN MARIE O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD60553737
WA
2086H0002X
Hospice and Palliative Medicine (Surgery) Physician
MD60553737
WA
2086S0127X
Trauma Surgery Physician
Primary
MD60553737
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790001071
—
WA
Enumeration date
04/12/2010
Last updated
06/06/2018
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