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Individual
DR. KELLIE MARIE DONAHUE
Active
Individual
DR. KELLIE MARIE DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
15094
NV
207Q00000X
Family Medicine Physician
4301076269
MI
207Q00000X
Family Medicine Physician
Primary
64823
WI
207Q00000X
Family Medicine Physician
C56175
CA
207Q00000X
Family Medicine Physician
MD219603
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15094
NV MEDICAL LICENSE
NV
05
—
1831127018
—
NV
05
—
1831127018
—
WI
Enumeration date
06/28/2006
Last updated
11/21/2025
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