Connolly, Kevin F

Connolly, Kevin F is an individual health care provider with primary practice located at 404-B Black Hills Ln Sw , Olympia WA 98502-8148. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Connolly, Kevin F can be contacted via phone (360) 438-2727.

Contact Information

Primary practice address
404-B Black Hills Ln Sw Olympia WA 98502-8148
Phone: (360) 438-2727
Fax: (360) 923-1120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD00014105 Washington

Profile Details

NPI number 1457373391
LBN Legal business name Connolly, Kevin F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2006
Last updated Mar 24th, 2009 - 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 1457373391 NPPES
Washington Other 18095 LABOR & INDUSTRY
Washington MEDICAID 1849207 LABOR & INDUSTRY

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