# KEVIN JAMES DONLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528094067
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 15235 | TX | Yes |

## Other

- **Enumeration date:** 06/25/2006
- **Last updated:** 07/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 120843104 | — | TX |
| 05 | — | 120843107 | — | TX |
| 05 | — | 120843108 | — | TX |
| 05 | — | 120843110 | — | TX |
| 01 | — | 15235 | TEXAS DENTAL LICENSE | TX |
| 01 | — | 84D665 | BCBS | — |