Kathleen O'Dea is a Pediatrics in Minneapolis, Minnesota. Kathleen O'Dea practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Kathleen O'Dea is 1588673818. The last update date is 2013-04-15.
Kathleen O'Dea's current location address is 525 Portland Ave, Minneapolis, Minnesota. You can contact this provider via phone number 6123489840 and fax number 6125967900. The mailing address for Kathleen O'Dea is 525 Portland Ave, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kathleen O'Dea |
|---|---|
| Address | 525 Portland Ave, Minneapolis, Minnesota |
| Phone Number | 6123489840 |
| Fax Number | 6125967900 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1588673818 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2013-04-15 |
Provider Mailing Address Detail
| Address | 525 Portland Ave |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554151533 |
| Phone Number | 6123489840 |
| Fax Number | 6125967900 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 363Lp0200X |
| Licence No | R 062385-6 |
|
Definition: An advanced practice registered nurse expert in providing care to infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6982979 | MN | EVERCARE | |
| HP21019 | MN | HEALTHPARTNERS | |
| 1200207 | MN | MEDICA | |
| 718015200 | MN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Kathleen O'Dea by the Centers for Medicare & Medicaid Services?
The Kathleen O'Dea has been issued the NPI (National Provider Identifier) 1588673818, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Kathleen O'Dea is physically located?
The Kathleen O'Dea is physically situated at the following address: 525 Portland Ave, Minneapolis, MN, 554151533.
What is Kathleen O'Dea's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Kathleen O'Dea is Pediatrics, and the taxonomy code that categorizes this field of expertise is 363Lp0200X.
When was the Kathleen O'Dea's 1588673818 issued?
The Kathleen O'Dea's 1588673818 was issued on 2006-08-05.
When was the information related to Kathleen O'Dea most recently updated or refreshed?
The details pertaining to the Kathleen O'Dea, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-04-15.