Individual
DR. KEVIN A OCONNOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6545 FRANCE AVE S, #671, EDINA, MN 55435-2131
(952) 829-1853
(952) 922-5047
Mailing address
6545 FRANCE AVE S, #671, EDINA, MN 55435-2131
(952) 829-1853
(952) 922-5047
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
24835
IA
2084P0800X
Psychiatry Physician
Primary
34055
MN
2084P0800X
Psychiatry Physician
G48495
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103013
U CARE
MN
01
—
104891600
DEPARTMENT OF LABOR
—
01
—
1500271
MEDICA
MN
01
—
19118
HEALTH PARTNER
MN
01
—
2156268
CIGNA BEHAVIORAL HEALTH
MN
01
—
5K3920C
BC
MN
01
—
962321000211
PREFERRED ONE COMM HEALTH
MN
05
—
986303600
—
MN
Enumeration date
07/12/2005
Last updated
05/05/2009
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