Active NPIIndividual provider

Kevin B O'Donnell, PA-C

Physician Assistant in Wellesley, Massachusetts

NPI Number1144385675
Practice location
230 Worcester St, Wellesley, MA 02481-5420
Fax
781-431-5329
Last updated
January 8, 2021

Kevin B O'Donnell is a Physician Assistant based in Wellesley, MA. Kevin B O'Donnell practices in Wellesley, MA and has the professional credentials of PA-C. The NPI Number for Kevin B O'Donnell is 1144385675. The current practice location address for Kevin B O'Donnell is 230 Worcester St, Wellesley, MA 02481-5420 and can be reached out via phone at 761-765-4711 and via fax at 781-431-5329.

Provider Profile Details

NPI Number
1144385675
Provider Name
Kevin B O'Donnell
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
230 Worcester St, Wellesley, MA 02481-5420
Phone Number
761-765-4711
Fax Number
781-431-5329
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
December 26, 2006
Last Update Date
January 8, 2021
Certification Date
January 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
230 Worcester St
Wellesley, MA 02481-5420
Zip
02481-5420
Phone Number
761-765-4711
Fax Number
781-431-5329
Wellesley, MA 02481Get directions →

Provider Business Mailing Address Details

Address
230 Worcester St
Wellesley, MA 02481-5420
City
Wellesley
State
MA
Zip
02481-5420
Phone Number
761-765-4711
Fax Number
781-431-5329

License Information

Taxonomy
Physician Assistant · 363A00000X · 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 Kevin B O'Donnell, PA-C?

The NPI number of Kevin B O'Donnell, PA-C is 1144385675. It was assigned on December 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Kevin B O'Donnell, PA-C?

Kevin B O'Donnell, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X).

Where does Kevin B O'Donnell, PA-C practice?

The practice location is 230 Worcester St, Wellesley, MA 02481-5420. The office can be reached at 761-765-4711 (phone) or 781-431-5329 (fax).

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 1144385675 directly on the NPPES registry website.

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