Male or Other

Kevin Donnelly M. D.

Dermatology Physician in Westerville, OH(View on Map)

Full Name

Kevin Donnelly M. D.

NPI Number

1366805517

NPI Type

Individual Provider

Gender

Male

Enumeration Date

04/04/2016

Specialties

(Taxonomies)

Licenses

State

New Mexico
Ohio
Ohio

License Number

RS2020-0028
35139165
57.028833

Contact
Information

Purpose

Mailing
Location

Address

430 ALTAIR PKWY
430 ALTAIR PKWY

City

Westerville
Westerville

State

OH
OH

Postal Code

43082-4647
43082-4647

Country

US
US

Telephone Number

(614) 898-7546
(614) 898-7546

Identifiers

Identifier

000001380472

Identifier State

OH

Identifier Issuer

ANTHEM

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 04/30/2021

Provider Address

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