Individual
DR. KIMBERLY A DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
4180 LEXINGTON AVE N, SHOREVIEW, MN 55126-6106
(651) 241-1455
(651) 241-1456
Mailing address
4180 LEXINGTON AVE N, SHOREVIEW, MN 55126-6106
(651) 241-1455
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10701
CO
2251X0800X
Orthopedic Physical Therapist
Primary
9249
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CP1303
MEDICARE CMS
CO
Enumeration date
10/21/2010
Last updated
04/08/2020
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