Dr KEVIN J DONNELLY is a male medical professional, specializing in Family Medicine. He graduated in 1992 from University Of Missouri St Louis - School Of Optometry.
CENTRACARE CLINIC
1301 33RD ST S
ST CLOUD
MN
563019668
Tel: 3202518181
| Npi | 1790712388 |
| Pac Id | 0042295826 |
| Professional Enrollment Id | I20100603000663 |
| Last Name | DONNELLY |
| First Name | KEVIN |
| Middle Name | J |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY |
| Graduation Year | 1992 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | CENTRACARE CLINIC |
| Group Practice Pac Id | 2466363395 |
| Number Of Group Practice Members | 588 |
| Line 1 Street Address | 1301 33RD ST S |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | ST CLOUD |
| State | MN |
| Zip Code | 563019668 |
| Phone Number | 3202518181 |
| Hospital Affiliation Ccn 1 | 240036 |
| Hospital Affiliation Lbn 1 | ST CLOUD HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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