NPI 1124061650 · live from the CMS NPI Registry
Kevin J. Connolly, M.D.
Family Medicine in Bradford, VT. National Provider Identifier 1124061650, active.
NPI record
| NPI | 1124061650 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 437 S Main St, Bradford, VT 05033 |
| Practice phone | 802-222-5562 |
| Mailing address | P O Box 318, Bradford, VT 05033 |
| Enumerated | June 13, 2006 |
| Last updated | August 16, 2010 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 0420009101 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.