Provider Demographics
NPI:1083806889
Name:OCONNOR, KATHLEEN MARY (MPS MBA)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MARY
Last Name:OCONNOR
Suffix:
Gender:F
Credentials:MPS MBA
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Mailing Address - Street 1:2000 VIVIGEN WAY
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-5600
Mailing Address - Country:US
Mailing Address - Phone:505-438-2296
Mailing Address - Fax:505-438-2269
Practice Address - Street 1:2000 VIVIGEN WAY
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-5600
Practice Address - Country:US
Practice Address - Phone:505-438-2296
Practice Address - Fax:505-438-2269
Is Sole Proprietor?:No
Enumeration Date:2007-08-15
Last Update Date:2023-09-07
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS