MEDICARE: KALEY SARAH MCDONAGH-DONNELLY RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163WS0121X	Plastic Surgery Registered Nurse	1140249	TX
2	163W00000X	Registered Nurse	1140249	TX
3	163WW0101X	Ambulatory Women's Health Care Registered Nurse	1140249	TX

General Provider Information

NPI Number	:	1528903051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALEY SARAH MCDONAGH-DONNELLY RN

Provider Business Mailing Address
First Line	:	2217 IVAN ST APT 119
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75201-7017
Country	:	US
Telephone Number	:	972-803-3957
Fax Number	:

Provider Business Practice Location Address
First Line	:	2401 VICTORY PARK LN STE 110
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75219-8120
Country	:	US
Telephone Number	:	972-803-3957
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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