Individual
DR. KEVIN WILLIAM O'DONNELL
Active
Individual
DR. KEVIN WILLIAM O'DONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
DR.0067561
CO
207X00000X
Orthopaedic Surgery Physician
DR.0067561
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
DR.0067561
CO
Other
Enumeration date
09/01/2005
Last updated
09/29/2024
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