Mcdonnell, Kelly M. W.

Mcdonnell, Kelly M. W. is an individual health care provider with primary practice located at 700 S Park St , Madison WI 53715-1830. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is her primary health care specialty. Mcdonnell, Kelly M. W. can be contacted via phone (608) 260-2900.

Contact Information

Primary practice address
700 S Park St Madison WI 53715-1830
Phone: (608) 260-2900
Fax: (608) 260-2956
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 62406 Wisconsin
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 62406-21 Wisconsin

Profile Details

NPI number 1871705111
LBN Legal business name Mcdonnell, Kelly M. W.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Dec 11th, 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 1871705111 NPPES
Wisconsin MEDICAID 1871705111

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