Individual
DR. KEVIN DONAGHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 CREEKSIDE DR, FOLSOM, CA 95630-3400
(916) 983-7400
Mailing address
1877 CLAYTON WAY, SACRAMENTO, CA 95835-1216
(916) 233-9447
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01087373A
IN
207P00000X
Emergency Medicine Physician
Primary
A78703
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A787030
—
CA
Enumeration date
05/17/2007
Last updated
08/23/2022
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