Individual
KEVIN WILLIAM O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 CEDAR RIDGE DR, GLASTONBURY, CT 06033-1817
(860) 930-3053
Mailing address
325 CEDAR RIDGE DR, GLASTONBURY, CT 06033-1817
(860) 930-3053
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/19/2019
Last updated
10/19/2019
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