Individual
KEVIN JAMES DONLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7703 FLOYD CURL DR., SAN ANTONIO, TX 78229-3900
(210) 567-3274
(210) 567-2844
Mailing address
P.O. BOX 40397, SAN ANTONIO, TX 78229-3900
(210) 567-3274
(210) 567-2844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15235
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120843104
—
TX
05
—
120843107
—
TX
05
—
120843108
—
TX
05
—
120843110
—
TX
01
—
15235
TEXAS DENTAL LICENSE
TX
01
—
84D665
BCBS
—
Enumeration date
06/25/2006
Last updated
07/18/2011
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