Connolly, Kevin J.

Connolly, Kevin J. is an individual health care provider with primary practice located at 437 S Main St , Bradford VT 05033-8877. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Connolly, Kevin J. can be contacted via phone (802) 222-5562.

Contact Information

Primary practice address
437 S Main St Bradford VT 05033-8877
Phone: (802) 222-5562
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0420009101 Vermont

Profile Details

NPI number 1124061650
LBN Legal business name Connolly, Kevin J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2006
Last updated Aug 16th, 2010 - 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 1124061650 NPPES
Vermont Other 110105365 RAIL ROAD MEDICARE
Vermont MEDICAID OVN1126 RAIL ROAD MEDICARE

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