Connelly, Kathleen Beth

Connelly, Kathleen Beth is an sole proprietor health care provider with primary practice located at 921 Ne 13Th St , Oklahoma City OK 73104-5007. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular. Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular is her primary health care specialty. Connelly, Kathleen Beth can be contacted via phone (405) 456-3859.

Contact Information

Primary practice address
921 Ne 13Th St Oklahoma City OK 73104-5007
Phone: (405) 456-3859
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X R0040928 Oklahoma
Technologists, Technicians & Other Technical Service Providers / Specialist/Technologist Cardiovascular 246X00000X 102399

Profile Details

NPI number 1225672496
LBN Legal business name Connelly, Kathleen Beth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2019
Last updated Oct 31st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225672496 NPPES
Other 102399 ARDMS
Other R0040928 ARDMS

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