| Kathleen O'connor | |
|
980 South Hwy 1 Ronald L. Kohlbrand Dds Pa Rockledge FL 32955 | |
| (321) 632-5323 | |
| (321) 632-6834 |
| Full Name | Kathleen O'connor |
|---|---|
| Speciality | Dentist |
| Location | 980 South Hwy 1, Rockledge, Florida |
| Authorized Official Name and Position | Ronald L Kohlbrand (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3216325323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathleen O'connor 980 South Hwy 1 Rockledge FL 32955 Ph: (321) 632-5323 | Kathleen O'connor 980 South Hwy 1 Ronald L. Kohlbrand Dds Pa Rockledge FL 32955 Ph: (321) 632-5323 |
| NPI Number | 1467461673 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467461673 | NPI | - | NPPES |
| DN12166 | Other | FL | DENTAL LIC. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN12166 (Florida) | Primary |
| 122300000X | Dentist | DN13964 (Florida) | Secondary |
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Cdpg, P.l. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3819 Murrell Rd Ste G, Rockledge, FL 32955 Phone: 321-433-1717 | |
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