Kathleen Kenny O'Connell in Dallas - Physician Assistant

Kathleen Kenny O'Connell - NPI 1972626562

Kathleen Kenny O'Connell is a Physician Assistant in Dallas, Texas. Kathleen Kenny O'Connell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Kathleen Kenny O'Connell is 1972626562. The last update date is 2007-11-07.

Kathleen Kenny O'Connell's current location address is 5201 Harry Hines Blvd, Dallas, Texas. You can contact this provider via phone number 2145908006. The mailing address for Kathleen Kenny O'Connell is 5201 Harry Hines Blvd, Dallas, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Kathleen Kenny O'Connell
Address 5201 Harry Hines Blvd, Dallas, Texas
Phone Number 2145908006
Fax Number
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1972626562
Provider Enumeration Date 2007-04-09
Last Updated Date 2007-11-07

Provider Mailing Address Detail

Address 5201 Harry Hines Blvd
City Dallas
State Texas (TX)
Post Code 752357708
Phone Number 2145908006
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA03442
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
8B1732 TX BLUE CROSS BLUE SHIELD

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FAQs about Kathleen Kenny O'Connell

What is the unique 10-digit identifier code assigned to Kathleen Kenny O'Connell by the Centers for Medicare & Medicaid Services?

The Kathleen Kenny O'Connell has been issued the NPI (National Provider Identifier) 1972626562 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical address where Kathleen Kenny O'Connell is geographically located?

The Kathleen Kenny O'Connell is physically situated at the following location: 5201 Harry Hines Blvd, Dallas, TX, 752357708.

What is Kathleen Kenny O'Connell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kathleen Kenny O'Connell is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.

On what date did the Kathleen Kenny O'Connell receive the assignment of its 1972626562 from the Centers for Medicare & Medicaid Services?

The Kathleen Kenny O'Connell was issued its 1972626562 by the Centers for Medicare & Medicaid Services on 2007-04-09.

As of what date were the details related to Kathleen Kenny O'Connell most recently updated or revised?

The information pertaining to Kathleen Kenny O'Connell, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-07.

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