Individual
KENNETH PATRICK O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
555 E COUNTY LINE RD, GREENWOOD, IN 46143-1063
(317) 497-2130
(317) 957-2730
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003872A
IN
363A00000X
Physician Assistant
99114487A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430H05
MEDICARE PTAN
IN
05
—
300074048
—
IN
Enumeration date
03/15/2022
Last updated
07/02/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up