Provider Demographics
NPI:1962678730
Name:O'ROURKE, KATHLEEN M (RN MSN ANPC)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:M
Last Name:O'ROURKE
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Gender:F
Credentials:RN MSN ANPC
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Mailing Address - Street 1:127 W PRATT ST
Mailing Address - Street 2:
Mailing Address - City:DE SOTO
Mailing Address - State:MO
Mailing Address - Zip Code:63020-2107
Mailing Address - Country:US
Mailing Address - Phone:636-337-7800
Mailing Address - Fax:636-337-7804
Practice Address - Street 1:127 W PRATT ST
Practice Address - Street 2:
Practice Address - City:DE SOTO
Practice Address - State:MO
Practice Address - Zip Code:63020-2107
Practice Address - Country:US
Practice Address - Phone:636-337-7800
Practice Address - Fax:636-337-7804
Is Sole Proprietor?:No
Enumeration Date:2008-05-01
Last Update Date:2013-10-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO144688363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health