Provider Demographics
NPI:1225050081
Name:O'KEEFE, KATHY LYNNE (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:KATHY
Middle Name:LYNNE
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:DDS, MS
Other - Prefix:MRS
Other - First Name:KATHY
Other - Middle Name:LYNNE
Other - Last Name:HERRIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4607 MIMOSA DR
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-5815
Mailing Address - Country:US
Mailing Address - Phone:713-661-6134
Mailing Address - Fax:
Practice Address - Street 1:2518 DORRINGTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1929
Practice Address - Country:US
Practice Address - Phone:713-661-3583
Practice Address - Fax:713-218-0724
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX14795122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist