Individual
KATHLEEN E DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
35 MILES ST, MILES MEDICAL GROUP, DAMARISCOTTA, ME 04543-4047
(207) 563-4383
(207) 563-3717
Mailing address
35 MILES ST, MILES MEDICAL GROUP - ANESTHESIA, DAMARISCOTTA, ME 04543-4047
(207) 563-4329
(207) 563-3717
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R015859
ME
Other
Enumeration date
09/30/2005
Last updated
09/18/2008
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