Individual
WILLIAM PATRICK DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1004 CARONDELET DR, SUITE 400, KANSAS CITY, MO 64114-4802
(816) 942-8333
(816) 942-6663
Mailing address
1004 CARONDELET DR, SUITE 400, KANSAS CITY, MO 64114-4802
(816) 942-8333
(816) 942-6663
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MOR8282
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15108024
BC/BS PROVIDER NUMBER
—
01
—
180020394
RAILROAD MEDICARE NUMBER
—
01
—
2150304
AETNA HMO PROVIDER NUMBER
—
01
—
4107883
AETNA PPO PROVIDER NUMBER
—
Enumeration date
07/27/2006
Last updated
07/08/2007
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