Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kathleen Ann O'Heelan, DO

Individual provider Family Medicine Physician · NPI 1174513451

Dr. Kathleen Ann O'Heelan, DO is a Family Practice in Providence, Rhode Island. Qualified in 1991, 35 years ago. Practices with The Providence Community Health Centers Inc, a 90-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
35
Licensed in
RI
In the registry since
2005
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

355 Prairie Ave
Providence, RI 02905-1928
Phone: (401) 415-9000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO00601 (RI)

Record details

NPI number1174513451
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 26, 2005
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice The Providence Community Health Centers Inc. — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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