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Individual

KEVIN MCDONNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
224 W EXCHANGE ST, SUITE 220, AKRON, OH 44302-1726
(330) 344-7040
(330) 344-1714
Mailing address
224 W EXCHANGE ST, SUITE 220, AKRON, OH 44302-1726
(330) 344-7040
(330) 344-1714

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35-096705
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000727394
ANTHEM
OH
05
0052039
OH
01
P01073771
RR MEDICARE
OH
Enumeration date
06/16/2008
Last updated
06/08/2016
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