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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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