Donnelly, Kathleen M

Donnelly, Kathleen M is an individual health care provider with primary practice located at 3300 Gallows Rd Department Of Pediatrics, Falls Church VA 22042-3307. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Donnelly, Kathleen M can be contacted via phone (703) 776-6652.

Contact Information

Primary practice address
3300 Gallows Rd Department Of Pediatrics Falls Church VA 22042-3307
Phone: (703) 776-6652
Fax: (703) 776-6078
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 218196 New York
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 0101240417 Virginia

Profile Details

NPI number 1487656815
LBN Legal business name Donnelly, Kathleen M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487656815 NPPES
New York MEDICAID 02110034

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