Connor, Kevin James

Connor, Kevin James is an individual health care provider with primary practice located at 1111 Delafield Street Suite 222, Waukesha WI 53188-3403. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Connor, Kevin James can be contacted via phone (262) 547-8665.

Contact Information

Primary practice address
1111 Delafield Street Suite 222 Waukesha WI 53188-3403
Phone: (262) 547-8665
Fax: (262) 547-8685
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Oral & Maxillofacial Surgery 204E00000X S-406 Louisiana
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 6201 54630 Wisconsin

Profile Details

NPI number 1174733588
LBN Legal business name Connor, Kevin James
Credentials D.D.S., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2007
Last updated Jul 19th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174733588 NPPES
Louisiana MEDICAID 07054

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