National Provider Identifier

Kevin A. O'Connell, M.D.

Kevin A. O'Connell, M.D. is listed in the NPPES registry with a primary specialty of Otolaryngic Allergy Physician in Warsaw, NY and a listed phone number of (585) 786-1555.

NPI 1720262686Warsaw, NYOtolaryngic Allergy Physician

Profile Overview

NPI
1720262686
Provider Type
Individual
Primary Specialty
Otolaryngic Allergy Physician
Enumeration Date
December 27, 2007
Last Updated
March 07, 2023

Practice Location

  • 400 N Main St
  • Warsaw, NY 14569-1025

Phone: (585) 786-1555

Specialties

  • Otolaryngic Allergy Physician (207YX0602X)
  • Otolaryngic Allergy Physician (207YX0602X)
Full Record
NPI
1720262686
Entity Type
Individual
Last Name
O'Connell
First Name
Kevin
Middle Name
A.
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
400 N Main St
Mailing City
Warsaw
Mailing State
NY
Mailing ZIP Code
14569-1025
Mailing Country
US
Mailing Phone
(585) 786-1555
Mailing Fax
(585) 786-7983
Practice Street Address
400 N Main St
Practice City
Warsaw
Practice State
NY
Practice ZIP Code
14569-1025
Practice Country
US
Practice Phone
(585) 786-1555
Practice Fax
(585) 786-7983
Enumeration Date
December 27, 2007
Last Updated
March 07, 2023
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Otolaryngic Allergy Physician (207YX0602X), Otolaryngic Allergy Physician (207YX0602X)
Other Identifiers
191328 (NY, Nys Medical License), 000711301A (GA), 040013774 (GA, Rail Road Medicare), 584912 (GA, Blue Cross Blue Shield), 308584 (GA, Wellcare)