Individual
KATHLEEN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
671 VANDALIA ST, SAINT PAUL, MN 55114-1312
(651) 698-2405
Mailing address
153 CESAR CHAVEZ ST, SAINT PAUL, MN 55107-2226
(651) 602-7552
(651) 602-7580
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP 4210
MN
Other
Enumeration date
10/05/2015
Last updated
01/22/2018
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