Provider Demographics
NPI:1730134917
Name:O'BRIEN, KATHLEEN (MS)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:KATHLEEN
Other - Middle Name:
Other - Last Name:PATCHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:21 CARDINAL LN
Mailing Address - Street 2:
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788-2228
Mailing Address - Country:US
Mailing Address - Phone:631-724-3981
Mailing Address - Fax:631-724-3981
Practice Address - Street 1:575 UNDERHILL BLVD
Practice Address - Street 2:
Practice Address - City:SYOSSET
Practice Address - State:NY
Practice Address - Zip Code:11791-3426
Practice Address - Country:US
Practice Address - Phone:516-677-3981
Practice Address - Fax:516-677-6631
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS