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NPI Code Detail

MEDICARE: KATHLEEN M O'NEIL MD

MEDICARE: KATHLEEN M O'NEIL MD
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
12080P0216XPediatric Rheumatology Physician01070572IN

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 : 1306815402
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHLEEN M O'NEIL MD
Provider Business Mailing Address
First Line : PO BOX 1026
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46206-1026
Country : US
Telephone Number : 317-274-1201
Fax Number : 317-278-9905
Provider Business Practice Location Address
First Line : 705 RILEY HOSPITAL DR
Second Line : RR 307
City : INDIANAPOLIS
State : IN
Zip : 46202-5109
Country : US
Telephone Number : 317-274-2172
Fax Number : 317-278-3031
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 03/30/2012

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Directions to “ KATHLEEN M O'NEIL MD” Practice Location

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