O'Connell, Kevin M

O'Connell, Kevin M is an individual health care provider with primary practice located at 7102 Mineral Point Road , Madison WI 53717-1706. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. O'Connell, Kevin M can be contacted via phone (608) 828-7603.

Contact Information

Primary practice address
7102 Mineral Point Road Madison WI 53717-1706
Phone: (608) 828-7603
Fax: (608) 826-2710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 24735 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 24735 Wisconsin

Profile Details

NPI number 1639141807
LBN Legal business name O'Connell, Kevin M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Dec 7th, 2011 - about 14 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 1639141807 NPPES
Wisconsin MEDICAID 31574000

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