Individual
KRISTEN MARY DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS, MPH
Contact information
Practice address
10401 HOSPITAL DR STE 101, CLINTON, MD 20735-3150
(301) 856-2323
Mailing address
10401 HOSPITAL DR STE 101, CLINTON, MD 20735-3150
(301) 856-2323
(855) 385-5335
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0008017
MD
Other
Enumeration date
05/04/2021
Last updated
03/15/2022
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