Individual
KATHLEEN A DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1300 W TERRELL AVE, FORT WORTH, TX 76104-2820
(817) 702-9000
(817) 702-5167
Mailing address
PO BOX 732973, DALLAS, TX 75373-2973
(817) 702-8450
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
521931
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164485803
—
TX
01
—
8N8822
BCBS
TX
Enumeration date
07/31/2006
Last updated
09/10/2018
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