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NPI Code Detail

MEDICARE: MS. KATHRYN JOAN ONEAL ARNP

MEDICARE: MS. KATHRYN JOAN ONEAL ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerARNP2238512FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386601755
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHRYN JOAN ONEAL ARNP
Provider Business Mailing Address
First Line : 1295 W FAIRFIELD DR
Second Line : ATTN: SUSIE PITMAN
City : PENSACOLA
State : FL
Zip : 32501-1107
Country : US
Telephone Number : 850-595-6417
Fax Number : 850-595-6693
Provider Business Practice Location Address
First Line : 1295 W FAIRFIELD DR
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-1107
Country : US
Telephone Number : 850-595-6417
Fax Number : 850-595-6693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2006
Last Update Date : 05/06/2008

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