Individual
KEVIN DONNELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP-FNP
Contact information
Practice address
2700 QUARRY LAKE DR STE 240, BALTIMORE, MD 21209-3769
(410) 367-2590
(410) 367-2596
Mailing address
2700 QUARRY LAKE DR STE 240, BALTIMORE, MD 21209-3769
(410) 367-2590
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R257506
MD
Other
Enumeration date
09/17/2021
Last updated
07/30/2025
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