Individual
DR. KEVIN B DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7301 W NATIONAL AVE, WEST ALLIS, WI 53214-4737
(414) 607-0366
(414) 607-0367
Mailing address
7301 W NATIONAL AVE, WEST ALLIS, WI 53214-4737
(414) 607-0366
(414) 607-0367
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
3784-012
WI
Other
Enumeration date
11/13/2006
Last updated
03/08/2017
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