Individual
KEVIN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
20 CHAMBERS DR, HOOKSETT, NH 03106-1981
(603) 624-8652
Mailing address
20 CHAMBERS DR FL 2, HOOKSETT, NH 03106-1981
(603) 624-8652
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD27102
ME
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
33449
NH
390200000X
Student in an Organized Health Care Education/Training Program
TP20071
ME
Other
Enumeration date
06/11/2020
Last updated
07/12/2024
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