Individual
DR. KEVIN RAYMOND O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2170
Mailing address
8450 NORTHWEST BLVD, INDIANAPOLIS, IN 46278-1381
(317) 802-2000
(317) 802-2016
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
01076134A
IN
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
01076134A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201330830
—
IN
Enumeration date
06/11/2007
Last updated
07/11/2024
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