Healthcare Provider Details

I. General information

NPI: 1932015617
Provider Name (Legal Business Name): KATE O'NEIL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 KELSO DR
BOW NH
03304-4704
US

IV. Provider business mailing address

18 KELSO DR
BOW NH
03304-4704
US

V. Phone/Fax

Practice location:
  • Phone: 781-354-9175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number078966-21
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: