Individual
KEVIN O'NEILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
145 15TH ST NE STE 103, ATLANTA, GA 30309-3535
(470) 968-6035
Mailing address
1240 W PEACHTREE ST NW APT 315, ATLANTA, GA 30309-4726
(727) 534-1714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN299054
GA
363LF0000X
Family Nurse Practitioner
Primary
RN299054
GA
Other
Enumeration date
02/23/2023
Last updated
03/11/2025
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