Connor, Kevin John

Connor, Kevin John is an individual health care provider with primary practice located at 100 E Chester Pike , Ridley Park PA 19078-1703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Connor, Kevin John can be contacted via phone (610) 521-3333.

Contact Information

Primary practice address
100 E Chester Pike Ridley Park PA 19078-1703
Phone: (610) 521-3333
Fax: (610) 521-2263
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS010794L Pennsylvania

Profile Details

NPI number 1821018953
LBN Legal business name Connor, Kevin John
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Mar 11th, 2014 - about 12 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1821018953 NPPES
Pennsylvania MEDICAID 114038

Popular Providers