Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Donnelly, MD

Individual provider Family Medicine Physician · NPI 1790712388

Kevin Donnelly, MD is a Family Practice in St Cloud, Minnesota. Graduated from University of Missouri St Louis - School of Optometry in 1992, 34 years ago. Practices with Centracare Clinic, a 782-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
34
Trained at
University of Missouri St Louis - School of Optometry
Licensed in
MN
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1301 33rd St S
St Cloud, MN 56301
Phone: (320) 251-8181
Fax: (320) 251-6942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 39020 (MN)

Record details

NPI number1790712388
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2006
Last updated in NPPESNovember 23, 2010
Mailing address251 County Road 120, Saint Cloud, MN 56303-4872

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MISSOURI ST LOUIS - SCHOOL OF OPTOMETRY
Graduated 1992 (34 years in practice)
Group practice Centracare Clinic — 782 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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