Provider Demographics
NPI:1891016168
Name:DONNELLY, KELI ANNE (DO)
Entity Type:Individual
Prefix:DR
First Name:KELI
Middle Name:ANNE
Last Name:DONNELLY
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:931 E HAVERFORD RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3838
Mailing Address - Country:US
Mailing Address - Phone:610-520-6170
Mailing Address - Fax:610-520-6174
Practice Address - Street 1:931 E HAVERFORD RD
Practice Address - Street 2:SUITE 200
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-3838
Practice Address - Country:US
Practice Address - Phone:610-520-6170
Practice Address - Fax:610-520-6174
Is Sole Proprietor?:No
Enumeration Date:2010-06-21
Last Update Date:2016-02-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAOS016639207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine