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Individual

DR. KEVIN M O'NEIL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3458
(910) 341-3427
Mailing address
1202 MEDICAL CENTER DR, WILMINGTON, NC 28401-7307
(910) 341-3458
(910) 341-3427

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
200301029
NC
207RP1001X
Pulmonary Disease Physician
Primary
200301029
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1341M
BCBS NC
NC
05
891341M
NC
01
P00051602
RAILROAD MEDICARE
NC
Enumeration date
07/10/2006
Last updated
04/24/2015
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