Individual
KEVIN M O'CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7102 MINERAL POINT ROAD, MADISON, WI 53717-1706
(608) 828-7603
(608) 826-2710
Mailing address
7974 UW HEALTH COURT, MIDDLETON, WI 53562-5531
(608) 267-6000
(608) 826-2710
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
24735
WI
207Q00000X
Family Medicine Physician
Primary
24735
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31574000
—
WI
Enumeration date
02/02/2006
Last updated
12/07/2011
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