Dr Kevin B Donnelly, DC | |
7301 W National Ave, West Allis, WI 53214-4737 | |
(414) 607-0366 | |
(414) 607-0367 |
Full Name | Dr Kevin B Donnelly |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 25 Years |
Location | 7301 W National Ave, West Allis, Wisconsin |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609947373 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NS0005X | Chiropractor - Sports Physician | 3784-012 (Wisconsin) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Donnelly Chiropractic Sc | 6709962871 | 3 |
Provider Name | Donnelly Chiropractic Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1306045000 PECOS PAC ID: 6709962871 Enrollment ID: O20080329000091 |
Mailing Address | Practice Location Address |
---|---|
Dr Kevin B Donnelly, DC 7301 W National Ave, West Allis, WI 53214-4737 Ph: (414) 607-0366 | Dr Kevin B Donnelly, DC 7301 W National Ave, West Allis, WI 53214-4737 Ph: (414) 607-0366 |
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