O'Brien, Kathleen B

O'Brien, Kathleen B is an individual health care provider with primary practice located at 160 E Erie Ave , Philadelphia PA 19134-1011. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. O'Brien, Kathleen B can be contacted via phone (215) 427-3131.

Contact Information

Primary practice address
160 E Erie Ave Philadelphia PA 19134-1011
Phone: (215) 427-3131
Fax: (215) 427-8782
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X MD069374L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD069374L Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C10007503 Delaware
Allopathic & Osteopathic Physicians / Sports Medicine 2080S0010X C10007503 Delaware
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD069374L Pennsylvania

Profile Details

NPI number 1861577959
LBN Legal business name O'Brien, Kathleen B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 26th, 2006
Last updated Jul 15th, 2020 - about 4 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 1861577959 NPPES
Maryland MEDICAID 3270009
Maryland MEDICAID 8283206
Maryland MEDICAID 01812378 (PA)
Maryland MEDICAID 001812378

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