O'Heelan, Kathleen Ann
O'Heelan, Kathleen Ann is an individual health care provider with primary practice located at 355 Prairie Ave , Providence RI 02905-1928. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. O'Heelan, Kathleen Ann can be contacted via phone (401) 415-9000.Contact Information
Primary practice address
355 Prairie Ave
Providence RI 02905-1928
Phone: (401) 415-9000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO00601 | Rhode Island |
Profile Details
| NPI number | 1174513451 |
|---|---|
| LBN Legal business name | O'Heelan, Kathleen Ann |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Dec 28th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174513451 | NPPES |
| Rhode Island | MEDICAID | 1174513451 |
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