Kathleen M O'Dea, P A - C
Physician Assistant in Medford, Massachusetts
1063541928- Practice location
- 124 Professors Row, Medford, MA 02155-5816
- Phone
- 617-627-3350
- Fax
- 617-627-3592
- Last updated
- July 8, 2007
Kathleen M O'Dea is a Physician Assistant based in Medford, MA. Kathleen M O'Dea practices in Medford, MA and has the professional credentials of P A - C. The NPI Number for Kathleen M O'Dea is 1063541928 and holds a License No. 323 (MA). The current practice location address for Kathleen M O'Dea is 124 Professors Row, Medford, MA 02155-5816 and can be reached out via phone at 617-627-3350 and via fax at 617-627-3592.
Provider Profile Details
- NPI Number
- 1063541928
- Provider Name
- Kathleen M O'Dea
- Credential
- P A - C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 124 Professors Row, Medford, MA 02155-5816
- Phone Number
- 617-627-3350
- Fax Number
- 617-627-3592
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- March 5, 2007
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 124 Professors Row
Medford, MA 02155-5816 - City
- Medford
- State
- Massachusetts
- Zip
- 02155-5816
- Phone Number
- 617-627-3350
- Fax Number
- 617-627-3592
Provider Business Mailing Address Details
- Address
- 51 Allen St
Arlington, MA 02474-6828 - City
- Arlington
- State
- MA
- Zip
- 02474-6828
License Information
- License Number
- 323
- License State
- MA
- Taxonomy
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Kathleen M O'Dea, P A - C?
The NPI number of Kathleen M O'Dea, P A - C is 1063541928. It was assigned on March 5, 2007 and is currently active in the NPPES registry.
What is the specialty of Kathleen M O'Dea, P A - C?
Kathleen M O'Dea, P A - C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in MA under license number 323.
Where does Kathleen M O'Dea, P A - C practice?
The practice location is 124 Professors Row, Medford, MA 02155-5816. The office can be reached at 617-627-3350 (phone) or 617-627-3592 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063541928 directly on the NPPES registry website.