O'Neill, Kathleen Mary
O'Neill, Kathleen Mary is an individual health care provider with primary practice located at 2320 Freeway Dr , Mount Vernon WA 98273-5445. 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'Neill, Kathleen Mary can be contacted via phone (360) 814-6800.Contact Information
Primary practice address
2320 Freeway Dr
Mount Vernon WA 98273-5445
Phone: (360) 814-6800
Fax: (360) 814-6917
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA10004305 | Washington |
Profile Details
| NPI number | 1518914811 |
|---|---|
| LBN Legal business name | O'Neill, Kathleen Mary |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2006 |
| Last updated | Jul 28th, 2015 - about 11 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 | 1518914811 | NPPES |
| Washington | MEDICAID | 1057449 |
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