| Doctor Name: | KEVIN DONNELLAN |
| NPI Number: | 1710082011 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSPT |
| License Number: | 024711 |
| Business Practice Address: | 7450 Girard Ave La Jolla, CA - 920375142 |
| Business Phone Number: | 8584549769 |
| Business Fax Number: | |
| Mailing Address: | 1510 Summit Ave, CARDIFF |
| State: | CA |
| Postal Code: | 920072434 |
| Phone Number: | 6318075354 |
| Fax Number: | |
| NPI Enumeration Date: | 09/13/2006 |
| NPI Last Update Date: | 04/15/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 024711 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |