Individual
KEVIN CHARLES OCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4000 HIGHWAY 9 E, LITTLE RIVER, SC 29566-7833
(843) 390-8100
Mailing address
3124 MOHAWK DR, GIBSONIA, PA 15044-8266
(412) 587-1323
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.505711
OH
163W00000X
Registered Nurse
RN656800
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
APN.30519
SC
Other
Enumeration date
10/12/2023
Last updated
06/26/2025
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