O'Connor, Kevin Paul

O'Connor, Kevin Paul is an individual health care provider with primary practice located at 19415 Deerfield Ave Ste 112 , Leesburg VA 20176-8470. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. O'Connor, Kevin Paul can be contacted via phone (703) 724-1195.

Contact Information

Primary practice address
19415 Deerfield Ave Ste 112 Leesburg VA 20176-8470
Phone: (703) 724-1195
Fax: (703) 724-4495
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0101048160 Virginia

Profile Details

NPI number 1730173279
LBN Legal business name O'Connor, Kevin Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Nov 30th, 2022 - about 2 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 1730173279 NPPES
Virginia Other 340017904 RR MEDICARE
Virginia Other 340017905 RR MEDICARE
Virginia MEDICAID 1730173279 RR MEDICARE

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