O'Connell, Kevin A.

O'Connell, Kevin A. is an sole proprietor health care provider with primary practice located at 400 N Main St , Warsaw NY 14569-1025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngic Allergy, which is considered as his primary health care specialty. O'Connell, Kevin A. can be contacted via phone (585) 786-1555.

Contact Information

Primary practice address
400 N Main St Warsaw NY 14569-1025
Phone: (585) 786-1555
Fax: (585) 786-7983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 041918 Georgia
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 191328 New York

Profile Details

NPI number 1720262686
LBN Legal business name O'Connell, Kevin A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 27th, 2007
Last updated Mar 7th, 2023 - about 3 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 1720262686 NPPES
New York Other 191328 NYS MEDICAL LICENSE
New York MEDICAID 000711301A NYS MEDICAL LICENSE
New York Other 040013774 NYS MEDICAL LICENSE
New York Other 584912 NYS MEDICAL LICENSE
New York Other 308584 NYS MEDICAL LICENSE

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