Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kathleen M O'Dea, PA-C

Individual provider Physician Assistant · NPI 1063541928

Kathleen M O'Dea, PA-C is a Physician Assistant in Medford, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

124 Professors Row
Medford, MA 02155-5816
Phone: (617) 627-3350
Fax: (617) 627-3592
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 323 (MA)

Record details

NPI number1063541928
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 5, 2007
Last updated in NPPESJuly 8, 2007

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