# VEIN AND WELLNESS GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** O'Donnell Vein and Laser
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306172309
- **Authorized official:** DR. KELLY ANN O'DONNELL M.D. (OWNER)
- **Authorized official phone:** (410) 693-3161

## Contact information

- **Practice address:** 166 DEFENSE HWY STE 101, ANNAPOLIS, MD 21401-8921
- **Practice address phone:** (410) 224-3390
- **Practice address fax:** (410) 224-3370
- **Mailing address:** 166 DEFENSE HWY STE 101, ANNAPOLIS, MD 21401-8921
- **Mailing address phone:** (410) 224-3390
- **Mailing address fax:** (410) 224-3370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 202K00000X | Phlebology Physician | — | NULL | — |
| 202K00000X | Phlebology Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | D0042645 | MD | Yes |

## Other

- **Enumeration date:** 10/26/2009
- **Last updated:** 06/20/2023