Individual
KEVIN R MCCONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 MARTHA JEFFERSON DR FL 5, CHARLOTTESVILLE, VA 22911
(434) 654-5260
(434) 654-5261
Mailing address
PO BOX 79777, BALTIMORE, MD 21279-0777
(434) 654-7794
(434) 654-5260
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101056567
VA
Other
Enumeration date
01/18/2006
Last updated
07/03/2018
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