National Provider Identifier
Kathleen Ann O'Connell, PHYSICIAN ASSISTANT
Kathleen Ann O'Connell, PHYSICIAN ASSISTANT is listed in the NPPES registry with a primary specialty of Medical Physician Assistant in Rochester, NY and a listed phone number of (585) 922-5550.
Profile Overview
- NPI
- 1952411928
- Provider Type
- Individual
- Primary Specialty
- Medical Physician Assistant
- Enumeration Date
- August 30, 2006
- Last Updated
- August 20, 2019
Practice Location
- 1445 Portland Avenue , Suite 108
- Rochester, NY 14621
Phone: (585) 922-5550
Specialties
- Medical Physician Assistant (363AM0700X)
Full Record
- NPI
- 1952411928
- Entity Type
- Individual
- Last Name
- O'Connell
- First Name
- Kathleen
- Middle Name
- Ann
- Name Prefix
- MS.
- Credential
- PHYSICIAN ASSISTANT
- Provider Other Last Name
- Fleming
- Provider Other First Name
- Kathleen
- Provider Other Middle Name
- Ann
- Provider Other Name Prefix Text
- MS.
- Provider Other Credential Text
- PHYSICIAN ASSISTANT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 1445 Portland Avenue , Suite 108
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14621
- Mailing Country
- US
- Mailing Phone
- (585) 922-5550
- Mailing Fax
- (585) 922-5950
- Practice Street Address
- 1445 Portland Avenue , Suite 108
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14621
- Practice Country
- US
- Practice Phone
- (585) 922-5550
- Practice Fax
- (585) 922-5950
- Enumeration Date
- August 30, 2006
- Last Updated
- August 20, 2019
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Medical Physician Assistant (363AM0700X)
- Other Identifiers
- 292385800 (FL)