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Individual
MS. KELLY ANN FRANCES DONNELLY
Active
Individual
MS. KELLY ANN FRANCES DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
19166
CA
363LF0000X
Family Nurse Practitioner
F335774
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE925Z
PTAN (PROVIDER TRANSACTION ACCESS NUMBER) FOR THE SMMC GROUP IS DE925Z
CA
Enumeration date
02/18/2009
Last updated
09/03/2015
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