Provider Demographics
NPI:1659752277
Name:O'CONNOR, KATE (MD)
Entity Type:Individual
Prefix:DR
First Name:KATE
Middle Name:
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1017 16TH AVE S
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37212-2324
Mailing Address - Country:US
Mailing Address - Phone:615-314-6800
Mailing Address - Fax:615-503-8888
Practice Address - Street 1:1017 16TH AVE S
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212-2324
Practice Address - Country:US
Practice Address - Phone:615-314-6800
Practice Address - Fax:615-503-8888
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN63024207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery