Individual
DR. KEVIN C OLOUGHLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13800 VETERANS WAY, ORLANDO, FL 32827-7401
(407) 631-1000
Mailing address
13668 CHAUVIN AVE, ORLANDO, FL 32827-3820
(775) 225-4378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD41923
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100509540
—
NV
01
—
11564457
CAQH
—
Enumeration date
07/20/2005
Last updated
05/14/2020
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