Organization
DONNELLY CHIROPRACTIC SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN B DONNELLY D.C. (CHIROPRACTOR)
(414) 607-0366
Entity
Organization
Contact information
Practice address
7301 W NATIONAL AVE, WEST ALLIS, WI 53214-4737
(414) 607-0366
(414) 607-0367
Mailing address
7301 W NATIONAL AVE, WEST ALLIS, WI 53214-4737
(414) 607-0366
(414) 607-0367
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
3785-012
WI
111NS0005X
Sports Physician Chiropractor
Primary
3784-012
WI
Other
Enumeration date
07/12/2007
Last updated
03/09/2017
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