Individual
KILLIAN R. O'CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6 UNIVERSITY DR, SUITE 203, AMHERST, MA 01002-2360
(413) 549-9232
(413) 549-9233
Mailing address
6 UNIVERSITY DR, SUITE 203, AMHERST, MA 01002-2360
(413) 549-9232
(413) 549-9233
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
150074
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000020637
BMC HEALTHNET
MA
01
—
0004467259
AETNA
MA
01
—
29343
HEALTH NEW ENGLAND
MA
01
—
623386
TUFTS HEALTH PLAN
MA
01
—
A21011
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
01/26/2006
Last updated
07/08/2007
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