Oconnor, Kevin Colum

Oconnor, Kevin Colum is an individual health care provider with primary practice located at 125 Nashua St Spaulding Rehab Hospital, Boston MA 02114-1198. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine. Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine is his primary health care specialty. Oconnor, Kevin Colum can be contacted via phone (617) 573-2200.

Contact Information

Primary practice address
125 Nashua St Spaulding Rehab Hospital Boston MA 02114-1198
Phone: (617) 573-2200
Fax: (617) 573-2769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 214129 Massachusetts
Allopathic & Osteopathic Physicians / Spinal Cord Injury Medicine 2081P0004X 214129 Massachusetts

Profile Details

NPI number 1861476947
LBN Legal business name Oconnor, Kevin Colum
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Sep 7th, 2012 - about 13 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 1861476947 NPPES
Massachusetts Other J25253 BCBS MA
Massachusetts Other 214129 BCBS MA
Massachusetts MEDICAID 0196312 BCBS MA

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