Active NPIIndividual provider

Dr. Kevin J Connolly, MD

Family Medicine in Bradford, Vermont

NPI Number1124061650
Practice location
437 S Main St, Bradford, VT 05033-8877
Fax
—
Last updated
August 16, 2010

Kevin J. Connolly is a Family Medicine based in Bradford, VT. Kevin J. Connolly practices in Bradford, VT and has the professional credentials of MD. The NPI Number for Kevin J. Connolly is 1124061650 and holds a License No. 0420009101 (VT). The current practice location address for Kevin J. Connolly is 437 S Main St, Bradford, VT 05033-8877 and can be reached out via phone at 802-222-5562.

Provider Profile Details

NPI Number
1124061650
Provider Name
Kevin J. Connolly
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
437 S Main St, Bradford, VT 05033-8877
Phone Number
802-222-5562
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
June 13, 2006
Last Update Date
August 16, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
437 S Main St
Bradford, VT 05033-8877
State
Vermont
Zip
05033-8877
Phone Number
802-222-5562
Bradford, VT 05033Get directions →

Provider Business Mailing Address Details

Address
P O Box 318
Bradford, VT 05033-0338
City
Bradford
State
VT
Zip
05033-0338
Phone Number
802-222-5562
Fax Number
802-222-9276

License Information

License Number
0420009101
License State
VT
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Kevin J Connolly, MD?

The NPI number of Dr. Kevin J Connolly, MD is 1124061650. It was assigned on June 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin J Connolly, MD?

Dr. Kevin J Connolly, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in VT under license number 0420009101.

Where does Dr. Kevin J Connolly, MD practice?

The practice location is 437 S Main St, Bradford, VT 05033-8877. The office can be reached at 802-222-5562 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124061650 directly on the NPPES registry website.

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