Connelly, Kevin P

Connelly, Kevin P is an individual health care provider with primary practice located at 1602 Skipwith Rd , Richmond VA 23229-5205. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Connelly, Kevin P can be contacted via phone (804) 200-7575.

Contact Information

Primary practice address
1602 Skipwith Rd Richmond VA 23229-5205
Phone: (804) 200-7575
Fax: (804) 200-7069
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0102037028 Virginia

Profile Details

NPI number 1144220435
LBN Legal business name Connelly, Kevin P
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Feb 13th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1144220435 NPPES
Virginia MEDICAID 006706029
Virginia MEDICAID 006706100
Virginia MEDICAID 010210941
Virginia MEDICAID 010376963

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