Individual
KERRY DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 HARVEY ST, RADFORD, VA 24141-2339
(540) 639-9315
Mailing address
601 HARVEY ST, RADFORD, VA 24141-2339
(540) 639-9315
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
0101043509
VA
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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