Individual
DR. KEVIN PATRICK CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2400 LANCASTER DR NE, SALEM, OR 97305-1221
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
A153322
CA
208000000X
Pediatrics Physician
Primary
MD192844
OR
Other
Enumeration date
04/28/2015
Last updated
03/11/2026
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