Most Relevant Information
Provider Data
| NPI Number: | 1003578980 |
| Provider Name: | KIM ANNE O'HARA RN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 351161-1 |
Most Important Dates
| Enumeration Date: | 10/08/2021 |
| Last Updated: | 10/08/2021 |
Provider Practice Location
25 BELLROSE RD
SOUND BEACH
NY
117890001
Practice Location Phone/Fax
| Phone: | 6315613725 |
| Fax: |
Provider Mailing Location
25 BELLROSE RD
SOUND BEACH
NY
117890001
Provider Mailing Phone/Fax
| Phone: | 6315613725 |
| Fax: |