Individual
KENNETH OCONNOR III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOM
Contact information
Practice address
1511 TAMIAMI TRL S STE 202, VENICE, FL 34285-5578
(941) 228-4688
Mailing address
19027 RED BIRD LN, LITHIA, FL 33547-1815
(617) 584-1816
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
4051
FL
Other
Enumeration date
05/09/2019
Last updated
05/09/2019
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