Individual
KENNETH J O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5515 CLEVELAND AVE, STEVENSVILLE, MI 49127-9670
(269) 429-9644
(269) 429-4002
Mailing address
5515 CLEVELAND AVE, STEVENSVILLE, MI 49127-9670
(269) 429-9644
(269) 429-4002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
4301045698
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110089876
RAILROAD MEDICARE
MI
01
—
1101107081
BLUE CROSS PIN
MI
05
—
2893924
—
MI
Enumeration date
07/31/2006
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us