NPI 1841849312

Kelly N O'Connor

Practitioner Dermatology Physician Jackson, WY

Practice location

Address: 984 W Broadway STE 4, Jackson, WY 83001
Phone: (307) 734-1800
Mailing address: PO Box 14510, Jackson, WY 83002-4510

Registered specialties (2)

Dermatology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207N00000X Licence PT949 (WY)

Other Dermatology providers in Wyoming →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Wyoming →

Registry record

NPI: 1841849312
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Sep 2019
Record last updated: 9 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.