Individual
KEVIN RYAN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, 1 MALONEY BUILDING, PHILADELPHIA, PA 19104-4206
(215) 746-7222
Mailing address
3400 SPRUCE ST, 1 MALONEY BUILDING, PHILADELPHIA, PA 19104-4206
(215) 746-7222
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MT185827
PA
Other
Enumeration date
12/28/2006
Last updated
02/20/2008
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