Provider Demographics
NPI:1689569659
Name:CONNOR, KEVIN (PA-C)
Entity type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:CONNOR
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:501 S WASHINGTON AVENUE, SUITE 1000
Mailing Address - Street 2:
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-3814
Mailing Address - Country:US
Mailing Address - Phone:570-941-0630
Mailing Address - Fax:570-230-0013
Practice Address - Street 1:501 S WASHINGTON AVE, SUITE 1000
Practice Address - Street 2:
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-3814
Practice Address - Country:US
Practice Address - Phone:570-941-0630
Practice Address - Fax:570-230-0013
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-10
Last Update Date:2025-06-13
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical