Individual
KEVIN ANDREW O'NEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2710 W 12TH ST, SIOUX FALLS, SD 57104-3701
(605) 328-5900
Mailing address
2710 W 12TH ST, SIOUX FALLS, SD 57104-3701
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
1955
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033641352
—
SD
Enumeration date
04/30/2019
Last updated
04/30/2019
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