O'Neil, Kathleen Anne

O'Neil, Kathleen Anne is an individual health care provider with primary practice located at 1433 N 1075 W Ste 104 , Farmington UT 84025-2746. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. O'Neil, Kathleen Anne can be contacted via phone (801) 298-1300.

Contact Information

Primary practice address
1433 N 1075 W Ste 104 Farmington UT 84025-2746
Phone: (801) 298-1300
Fax: (801) 296-6199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 286018-1205 Utah

Profile Details

NPI number 1881693950
LBN Legal business name O'Neil, Kathleen Anne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 26th, 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 1881693950 NPPES
Idaho MEDICAID 805467900
Idaho MEDICAID 002082476
Idaho MEDICAID 922965
Idaho Other P00651553
Idaho MEDICAID D2876
Idaho Other P00204541
Idaho MEDICAID 120744000

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