Individual
KEVIN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3000 ARLINGTON AVE, TOLEDO, OH 43614-2598
(419) 383-5408
Mailing address
26863 CARRONADE DR APT 8103, PERRYSBURG, OH 43551-6432
(517) 918-3072
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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