Staveley-Ocarroll, Kevin F

Staveley-Ocarroll, Kevin F is an individual health care provider with primary practice located at 263 Farmington Avenue , Farmington CT 06030-8063. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Oncology. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Staveley-Ocarroll, Kevin F can be contacted via phone (860) 679-8080.

Contact Information

Primary practice address
263 Farmington Avenue Farmington CT 06030-8063
Phone: (860) 679-8080
Fax: (860) 679-1340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 076526 Connecticut
Allopathic & Osteopathic Physicians / Surgery 208600000X MD071461L Pennsylvania
Allopathic & Osteopathic Physicians / Surgery 208600000X 2015030565 Missouri
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 35558 South Carolina
Allopathic & Osteopathic Physicians / Surgical Oncology 2086X0206X 2015030565 Missouri

Profile Details

NPI number 1679539803
LBN Legal business name Staveley-Ocarroll, Kevin F
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2006
Last updated Mar 5th, 2024 - about 6 months 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 1679539803 NPPES
Pennsylvania MEDICAID 0018125830001

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