O'Connell, Kevin William

O'Connell, Kevin William is an individual health care provider with primary practice located at 325 Cedar Ridge Dr , Glastonbury CT 06033-1817. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. O'Connell, Kevin William can be contacted via phone (860) 930-3053.

Contact Information

Primary practice address
325 Cedar Ridge Dr Glastonbury CT 06033-1817
Phone: (860) 930-3053
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1104469477
LBN Legal business name O'Connell, Kevin William
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2019
Last updated Oct 19th, 2019 - about 7 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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