Mcconnell, Kevin W

Mcconnell, Kevin W is an individual health care provider with primary practice located at 520 Mary St Ste 520 , Evansville IN 47710-1682. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Mcconnell, Kevin W can be contacted via phone (812) 424-8231.

Contact Information

Primary practice address
520 Mary St Ste 520 Evansville IN 47710-1682
Phone: (812) 424-8231
Fax: (812) 435-8794
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 01076419A Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 01076419A Indiana

Profile Details

NPI number 1467455998
LBN Legal business name Mcconnell, Kevin W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 30th, 2005
Last updated Mar 5th, 2024 - about 8 months 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 1467455998 NPPES
Indiana Other 01076419 INDIANA STATE LICENSE
Indiana MEDICAID 7100409330 INDIANA STATE LICENSE
Indiana Other 000001013079 INDIANA STATE LICENSE
Indiana MEDICAID 201351330 INDIANA STATE LICENSE

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