Individual
DR. KEVIN T OCONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
707 S GREENVILLE WEST DR, GREENVILLE, MI 48838-3514
(616) 754-3001
Mailing address
100 MICHIGAN ST NE # MC845, GRAND RAPIDS, MI 49503-2560
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5101010639
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3162370
—
MI
05
—
3526975
—
MI
Enumeration date
04/12/2006
Last updated
04/02/2018
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