Kathleen Beth Connelly, is a
Specialist/technologist Cardiovascular based in Oklahoma City, Oklahoma. Kathleen Beth Connelly is licensed to practice in * (Not Available) (license number 102399) and her current practice location is
921 Ne 13th St, Oklahoma City, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 456-3859.
NPI number for Kathleen Beth Connelly is 1225672496 and her current mailing address is 1505 Mead Ln, Oklahoma City, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1225672496.
Provider's Profile
Full Name | Kathleen Beth Connelly |
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Gender | Female |
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Speciality | Specialist/technologist Cardiovascular |
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Location | 921 Ne 13th St, Oklahoma City, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225672496
- Provider Enumeration Date: 10/31/2019
- Last Update Date: 10/31/2019
Medical Identifiers
Medical identifiers for Kathleen Beth Connelly such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225672496 | NPI | - | NPPES |
102399 | Other | | ARDMS |
R0040928 | Other | OK | OK BOARD OF NURSING |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | R0040928 (Oklahoma) | Secondary |
246X00000X | Specialist/technologist Cardiovascular | 102399 (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Beth Connelly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kathleen Beth Connelly, 1505 Mead Ln, Oklahoma City, OK 73170-1466 Ph: (405) 410-4147 | Kathleen Beth Connelly, 921 Ne 13th St, Oklahoma City, OK 73104-5007 Ph: (405) 456-3859 |
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