Obara, Katherine P

Obara, Katherine P is an individual health care provider with primary practice located at 300 Quaker Ln # C2-4 , Warwick RI 02886-0159. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Obara, Katherine P can be contacted via phone (401) 233-5051.

Contact Information

Primary practice address
300 Quaker Ln # C2-4 Warwick RI 02886-0159
Phone: (401) 233-5051
Fax: (401) 372-3445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN00642 Rhode Island
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN00642 Rhode Island

Profile Details

NPI number 1669787073
LBN Legal business name Obara, Katherine P
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2010
Last updated May 18th, 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 1669787073 NPPES
Other 002669101 MEDICARE
Other 709003943 MEDICARE
MEDICAID KO88278 MEDICARE

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