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

Dr. Kathleen Marie O'Brien, MD

Individual provider Pediatrics Physician · NPI 1104384114

Dr. Kathleen Marie O'Brien, MD is a Pediatric Medicine in Fort Riley, Kansas. Qualified in 2019, 7 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

650 Huebner Rd
Fort Riley, KS 66442-4030
Phone: (785) 785-2397
Fax: (630) 570-5779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 01085145A (IN)

Record details

NPI number1104384114
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedMarch 8, 2019
Last updated in NPPESSeptember 14, 2023
Certification dateSeptember 14, 2023

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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