# DR. KEVIN COLUM OCONNOR

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1861476947
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 214129 | MA | — |
| 2081P0004X | Spinal Cord Injury Medicine Physician | 214129 | MA | Yes |

## Other

- **Enumeration date:** 12/02/2005
- **Last updated:** 09/07/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0196312 | — | MA |
| 01 | — | 214129 | TUFTS HEALTH PLAN | MA |
| 01 | — | J25253 | BCBS MA | MA |