Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin Miguel O'Hara

Individual provider Certified Registered Nurse Anesthetist · NPI 1407627631

Kevin Miguel O'Hara is a Certified Registered Nurse Anesthetist (CRNA) in Fort Wayne, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2024

Practice location Address checks out

6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203
Phone: (260) 436-7875
Fax: (260) 432-9812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6 Hairpin Dr, Edwardsville, IL 62026-1000 — (317) 378-2836

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 28259076A (IN)

Record details

NPI number1407627631
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 16, 2024
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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