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Contact Information

KELLY N OCONNOR
984 W BROADWAY
STE 4
JACKSON, WY83001
 Phone: 307-734-1800
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for KELLY N OCONNOR · (Female)

NPI Number 1841849312
Status Active
Credentials
Entity Individual
Enumeration date 09/08/2019
Last updated 09/09/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • WY License # PT949
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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