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KATHLEEN MARY OCONNOR A.P.R.N.

>> Internal Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1457351017

Individual Registrant:
 KATHLEEN MARY OCONNOR A.P.R.N.
Gender: F
Not Sole Proprietor

Location and contact information for practice:
269 CHURCH ST  AMSTON, CT 06231-1403 US
Tel: 860-228-9463  Fax: 860-228-3766

Contact information for business:
269 CHURCH ST  AMSTON, CT 06231-1403 US
Tel: 860-228-9463  Fax: 860-228-3766

Registration Information:
NPI: 1457351017
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N207R00000XAllopathic & Osteopathic Physicians
Internal Medicine
CT002732
Y363LA2100XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CT002732

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
HEALTHNET2V645701
BCBS400002732C70301
CT CARE02073201




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