O'Connell, Kevin James

O'Connell, Kevin James is an sole proprietor health care provider with primary practice located at 16 Bayview Rd , Durham NH 03824-2406. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. O'Connell, Kevin James can be contacted via phone (603) 397-5028.

Contact Information

Primary practice address
16 Bayview Rd Durham NH 03824-2406
Phone: (603) 397-5028
Fax: (603) 889-9639
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 457 New Hampshire
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 769 Massachusetts
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 0918AL Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 341 New Hampshire
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3790 Massachusetts

Profile Details

NPI number 1588701791
LBN Legal business name O'Connell, Kevin James
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 9th, 2007 - about 19 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 1588701791 NPPES
New Hampshire MEDICAID 30420903

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