Individual
DR. KEVIN CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1310 LAS TABLAS RD STE 103, TEMPLETON, CA 93465-9746
(805) 461-7080
Mailing address
1 QUALITY DR, VACAVILLE, CA 95688-9494
(707) 624-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10046400
TX
2085R0202X
Diagnostic Radiology Physician
Primary
A134205
CA
Other
Enumeration date
04/09/2013
Last updated
12/22/2021
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