Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | 63024 | TN |
NPI | 1659752277 |
---|---|
Provider Name | Dr. Kate O'connor |
First Address | Nashville, TN 37212-2324 |
Second Address | Nashville, TN 37212-2324 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2015 |
Last Update Date | 04/08/2021 |