Provider Demographics
NPI:1366427189
Name:O'NEIL, KEVIN W (MD)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:W
Last Name:O'NEIL
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1900 BROTHER GEENEN WAY
Mailing Address - Street 2:SENIOR FRIENDSHIP CENTERS, INC.
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34236-7102
Mailing Address - Country:US
Mailing Address - Phone:941-556-3215
Mailing Address - Fax:941-955-8214
Practice Address - Street 1:1900 BROTHER GEENEN WAY
Practice Address - Street 2:SENIOR FRIENDSHIP CENTERS, INC.
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34236-7102
Practice Address - Country:US
Practice Address - Phone:941-556-3215
Practice Address - Fax:941-955-8214
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
FLME43120207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine