Individual
DR. KATHLEEN M DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3300 GALLOWS RD, DEPARTMENT OF PEDIATRICS, FALLS CHURCH, VA 22042-3307
(703) 776-6652
(703) 776-6078
Mailing address
3300 GALLOWS RD, DEPARTMENT OF PEDIATRICS, FALLS CHURCH, VA 22042-3307
(703) 776-6652
(703) 776-6078
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
0101240417
VA
2080P0203X
Pediatric Critical Care Medicine Physician
218196
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02110034
—
NY
Enumeration date
08/15/2005
Last updated
07/20/2020
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