Individual
DR. KEVIN J DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
120 MEDICAL BLVD STE 105, SPRING HILL, FL 34609-0221
(727) 441-3588
(727) 216-0704
Mailing address
1330 S FORT HARRISON AVE, CLEARWATER, FL 33756-3313
(727) 791-1368
(727) 216-0704
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0068587
FL
207Y00000X
Otolaryngology Physician
Primary
ME68587
FL
Other
Enumeration date
08/15/2005
Last updated
04/29/2021
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