KEVIN F CONNOLLY (NPI# 1457373391) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457373391 |
| Entity Type | Individual |
| Full Name | KEVIN F CONNOLLY |
| Credential | MD |
| Practice Address |
404-b Black Hills Ln Sw Olympia WA 98502-8148 |
| Practice Telephone | 3604382727 |
| Practice Fax Number | 3609231120 |
| Mailing Telephone | 3604382727 |
| Mailing Fax Number | 3609231120 |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2009-03-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
MD00014105 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1849207 | 05 | |
| WA | LABOR & INDUSTRY | 18095 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649233560 | Kevin Patrick Connolly | Family Medicine | Psc 76 Box 4861, Apo, AP 96319-0027 | 2006-04-11 |
| 1710502182 | Kevin Connolly | Student in an Organized Health Care Education/Training Program | 15 E Chestnut St, Augusta, ME 04330-5736 | 2020-06-11 |
| 1841848744 | Kevin James Connolly | Speech-Language Pathologist | 99 Hollywood Dr, Smithtown, NY 11787-3135 | 2019-09-04 |
| 1699260737 | Kevin Connolly | Physician Assistant | 326 Washington St, Norwich, CT 06360-2740 | 2018-06-29 |
| 1104352764 | Kevin Connolly | Student in an Organized Health Care Education/Training Program | 500 S Preston St Rm 305, Louisville, KY 40202-1702 | 2017-05-02 |
| 1215314257 | Kevin Patrick Connolly | Pediatrics | 2823 Fresno St, Fresno, CA 93721-1324 | 2015-04-28 |
| 1124419643 | Kevin Connolly | Counselor | 1 Tiffany Pt Ste 110, Bloomingdale, IL 60108-2915 | 2015-02-06 |
| 1841633948 | Kevin Connolly | Internal Medicine | 1310 Las Tablas Rd Ste 103, Templeton, CA 93465 | 2013-04-09 |
| 1821229360 | Kevin Mark Connolly | Psychologist | 1500 E Woodrow Wilson Ave, (116a2), Jackson, MS 39216-5116 | 2009-07-31 |
| 1073731808 | Kevin M. Connolly | Chiropractor | 900 Jorie Blvd, Suite 104, Oak Brook, IL 60523-2213 | 2007-04-24 |
| Street Address |
404-B BLACK HILLS LN SW |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-8148 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801818745 | Northwest Neuromuscular Associates PC | Psychiatry & Neurology | 404-b Black Hills Ln Sw, Olympia, WA 98502-8148 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
| Find all providers in zip 98502 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124367776 | Tilahun Haile Abraha | Psychiatry & Neurology | 317 Nine Bark St Nw, Olympia, WA 98502-8709 | 2013-02-01 |
| 1588850325 | Youngbin Choi | Psychiatry & Neurology | 525 Lilly Rd Ne Ste 210, Olympia, WA 98506-5101 | 2007-09-14 |
| 1841314184 | Gary Franklin | Psychiatry & Neurology | 525 Lilly Rd Ne # 210, Olympia, WA 98506-5101 | 2007-03-19 |
| 1306208202 | Christine Rene Wells | Psychiatry & Neurology | 2540 Wedgewood Ct Se, Olympia, WA 98501-3855 | 2016-03-22 |
| 1154610814 | Corey White | Psychiatry & Neurology | 525 Lilly Rd Ne, Olympia, WA 98506-5101 | 2011-04-04 |
| 1386841849 | Chike M. Linton | Psychiatry & Neurology | 406-a Black Hills Ln Sw, Olympia, WA 98502 | 2007-06-28 |
| 1336160373 | Maria Irina Ramneantu | Psychiatry & Neurology | 525 Lilly Rd Ne, Suite 210, Olympia, WA 98506-5101 | 2006-07-23 |
| 1801818745 | Northwest Neuromuscular Associates PC | Psychiatry & Neurology | 404-b Black Hills Ln Sw, Olympia, WA 98502-8148 | 2006-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720608235 | Alexander John Arnold | Psychiatry & Neurology | 1959 Ne Pacific St, Rr650, Seattle, WA 98195 | 2020-04-24 |
| 1760024632 | Ethan Budd Russo | Psychiatry & Neurology | 20402 81st Avenue Sw, Vashon, WA 98070-6253 | 2019-10-12 |
| 1730683053 | Selkirk Neurology Pllc | Psychiatry & Neurology | 610 S Sherman St Ste 201, Spokane, WA 99202-1342 | 2018-03-21 |
| 1881116341 | William Russell Schmidt | Psychiatry & Neurology | 12207 243rd Pl Ne, Redmond, WA 98053-5685 | 2017-07-16 |
| 1568872281 | Marie-sarah Gagne Brosseau | Psychiatry & Neurology | 1536 N 115th Street, Suite 130, Seattle, WA 98133 | 2014-05-02 |
| 1972920049 | Anusha Mannava | Psychiatry & Neurology | 1100 Goethals Dr Ste D, Richland, WA 99352 | 2014-03-26 |
| 1275954646 | George Delyanis | Psychiatry & Neurology | 1220 Ventura Dr, Tacoma, WA 98465-1240 | 2014-01-02 |
| 1326381500 | Jill Kaspar Baird | Psychiatry & Neurology | 2121 Ne 139th St Ste 205, Vancouver, WA 98686-2316 | 2013-04-05 |
| 1124361993 | Malveeka Sharma | Psychiatry & Neurology | 325 9th Ave Rm 3ct70, Seattle, WA 98104 | 2013-03-31 |
| 1962740274 | Legacy Neuromonitoring, LLC | Psychiatry & Neurology | 1818 W Francis Ave, Pmb #299, Spokane, WA 99205-6834 | 2013-01-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.