Provider Demographics
NPI:1437344702
Name:OGAR, KATHLEEN (DIPLOMAT ABT, CHOM)
Entity Type:Individual
Prefix:MRS
First Name:KATHLEEN
Middle Name:
Last Name:OGAR
Suffix:
Gender:F
Credentials:DIPLOMAT ABT, CHOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 EAST ST
Mailing Address - Street 2:SUITE 20
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339-1638
Mailing Address - Country:US
Mailing Address - Phone:781-829-8900
Mailing Address - Fax:781-829-8933
Practice Address - Street 1:20 EAST ST
Practice Address - Street 2:SUITE 20
Practice Address - City:HANOVER
Practice Address - State:MA
Practice Address - Zip Code:02339-1638
Practice Address - Country:US
Practice Address - Phone:781-829-8900
Practice Address - Fax:781-829-8933
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2007-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA-87171100000X
MANA175L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175L00000XOther Service ProvidersHomeopath
No171100000XOther Service ProvidersAcupuncturist