| Doctor Name: | KATHLEEN GAIL OBRIEN |
| NPI Number: | 1346341625 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS RN NP CS |
| License Number: | F4005441 |
| Business Practice Address: | 465 North Main Street Penn Yan, NY - 14527 |
| Business Phone Number: | 3155312400 |
| Business Fax Number: | 3155312436 |
| Mailing Address: | 180 Lafayette Parkway, ROCHESTER |
| State: | NY |
| Postal Code: | 14625 |
| Phone Number: | 5853819714 |
| Fax Number: | |
| NPI Enumeration Date: | 09/26/2006 |
| NPI Last Update Date: | 08/18/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | F4005441 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |