Dr Kevin J Connolly, MD is a
Family Medicine physician based in Bradford, Vermont. Dr Kevin J Connolly is licensed to practice in Vermont (license number 0420009101) and his current practice location is 437 S Main St, Bradford, Vermont. He can be reached at his office (for appointments etc.) via phone at
(802) 222-5562.
NPI number for Dr Kevin J Connolly is 1124061650 and his current mailing address is P O Box 318, Bradford, Vermont. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124061650.
Physician's Profile
| Full Name | Dr Kevin J Connolly |
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| Gender | Male |
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| Speciality | Family Medicine |
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| Location | 437 S Main St, Bradford, Vermont |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1124061650
- Provider Enumeration Date: 06/13/2006
- Last Update Date: 08/16/2010
Medical Identifiers
Medical identifiers for Dr Kevin J Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124061650 | NPI | - | NPPES |
| 110105365 | Other | VT | RAIL ROAD MEDICARE |
| OVN1126 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 0420009101 (Vermont) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Kevin J Connolly is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Kevin J Connolly, MD
P O Box 318,
Bradford, VT 05033-0338
Ph: (802) 222-5562 | Dr Kevin J Connolly, MD
437 S Main St,
Bradford, VT 05033-8877
Ph: (802) 222-5562 |
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