O'Connor, Kathleen M.

O'Connor, Kathleen M. is an individual health care provider with primary practice located at 167 North Main Street , Tuba City AZ 86045-0600. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. O'Connor, Kathleen M. can be contacted via phone (928) 283-2501.

Contact Information

Primary practice address
167 North Main Street Tuba City AZ 86045-0600
Fax: (928) 283-2677
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019-023010 Illinois

Profile Details

NPI number 1265472948
LBN Legal business name O'Connor, Kathleen M.
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 8th, 2007 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1265472948 NPPES
Arizona MEDICAID 422767

Popular Providers