Individual
KEVIN O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
4674 SNOW MESA DR, STE 200, FORT COLLINS, CO 80528-8615
(970) 495-7450
(970) 297-6599
Mailing address
2695 ROCKY MOUNTAIN AVE, STE 150, LOVELAND, CO 80538-8702
(970) 624-4420
(970) 624-4459
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51167
CO
2083X0100X
Occupational Medicine Physician
28422
MN
2083X0100X
Occupational Medicine Physician
Primary
51167
CO
Other
Enumeration date
12/29/2005
Last updated
06/24/2013
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