Individual
KERRI DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
94 OLD SHORT HILLS RD, SAINT BARNABAS MEDICAL CENTER, LIVINGSTON, NJ 07039-5672
(973) 322-5000
Mailing address
PO BOX 717, LIVINGSTON, NJ 07039-0717
(973) 740-0607
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00149100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1067848
NCCPA NUMBER
NJ
Enumeration date
07/18/2006
Last updated
07/08/2007
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