Provider Demographics
NPI:1962841254
Name:O'CONNOR, KAITLIN ANN (DO)
Entity Type:Individual
Prefix:DR
First Name:KAITLIN
Middle Name:ANN
Last Name:O'CONNOR
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:90 LIBBEY PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02189-3129
Mailing Address - Country:US
Mailing Address - Phone:339-201-4120
Mailing Address - Fax:339-201-4122
Practice Address - Street 1:90 LIBBEY PKWY STE 105
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02189-3129
Practice Address - Country:US
Practice Address - Phone:339-201-4120
Practice Address - Fax:339-201-4122
Is Sole Proprietor?:No
Enumeration Date:2013-06-19
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI5101020663207V00000X
CT56357207V00000X
MA280740207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology