O'Dea, Kathleen M

O'Dea, Kathleen M is an individual health care provider with primary practice located at 124 Professors Row , Medford MA 02155-5816. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. O'Dea, Kathleen M can be contacted via phone (617) 627-3350.

Contact Information

Primary practice address
124 Professors Row Medford MA 02155-5816
Phone: (617) 627-3350
Fax: (617) 627-3592
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 323 Massachusetts

Profile Details

NPI number 1063541928
LBN Legal business name O'Dea, Kathleen M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 19 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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