| Kathy J O'connor MD PA | |
|
3700 W Highway 89a Sedona AZ 86336-4937 | |
| (928) 204-4944 | |
| (928) 204-4945 |
| Full Name | Kathy J O'connor MD PA |
|---|---|
| Speciality | Internal Medicine |
| Location | 3700 W Highway 89a, Sedona, Arizona |
| Authorized Official Name and Position | Kathy J O'connor (PRESIDENT/CEO) |
| Authorized Official Contact | 9282044944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathy J O'connor MD PA Po Box 1304 Cornville AZ 86325-1304 Ph: (928) 204-4944 | Kathy J O'connor MD PA 3700 W Highway 89a Sedona AZ 86336-4937 Ph: (928) 204-4944 |
| NPI Number | 1356457667 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356457667 | NPI | - | NPPES |
| 480088 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 27775 (Arizona) | Primary |
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