Individual
KEVIN F CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
404-B BLACK HILLS LN SW, OLYMPIA, WA 98502-8148
(360) 438-2727
(360) 923-1120
Mailing address
404-B BLACK HILLS LN SW, OLYMPIA, WA 98502-8148
(360) 438-2727
(360) 923-1120
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00014105
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18095
LABOR & INDUSTRY
WA
05
—
1849207
—
WA
Enumeration date
07/23/2006
Last updated
03/24/2009
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