Donelan, Kent Joseph
Donelan, Kent Joseph is an individual health care provider with primary practice located at 301 Becker Ave Sw , Willmar MN 56201-3302. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Donelan, Kent Joseph can be contacted via phone (320) 231-4500.Contact Information
Primary practice address
301 Becker Ave Sw
Willmar MN 56201-3302
Phone: (320) 231-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 104875 | Minnesota |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 53314 | Minnesota |
Profile Details
| NPI number | 1447442181 |
|---|---|
| LBN Legal business name | Donelan, Kent Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2007 |
| Last updated | Oct 30th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447442181 | NPPES |
| Iowa | MEDICAID | ENROLLED | |
| Iowa | MEDICAID | ENROLLED |
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