Individual
MR. KEVIN MARK DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
2210 SE 17TH ST, 302, OCALA, FL 34471-9144
(352) 629-4509
(352) 629-5005
Mailing address
2210 SE 17TH ST, 302, OCALA, FL 34471-9144
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2419
FL
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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