SearchIndiana363A00000X

Kenneth O'Connor, PA-C

NPI 1790433043 · on the registry since 2022

Practice

Address
555 E County Line Rd
Greenwood, IN 46143
Phone
(317) 497-2130
Fax
(317) 957-2730
Organisation at this address
Maxim Healthcare Services, Inc.
Together Homecare Of Greenwood Llc
Together Homecare Of Greenwood, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
21

Additional practice sites

  • 52500 Fir Rd, Granger, IN
  • 211 N Eddy St, South Bend, IN

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
IN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-07-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana