Kevin P Donovan, Ph.D
Psychologist, Clinical in Leavenworth, KS. Individual provider (NPI-1).
NPI number1497198501
StatusActive
Last updated in NPPESApr 9, 2013
Details
- NPI
- 1497198501
- Entity type
- Individual (NPI-1)
- Name
- Mr. Kevin P Donovan
- Credential
- Ph.D
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 9, 2013
- Last updated
- Apr 9, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 2117 | KS | Yes |
Practice location
1503 Ohio StLeavenworth, KS 66048-2932
Phone 888-362-8704
Mailing address
3545 Tudor DrLeavenworth, KS 66048-5301
Phone 913-682-8700
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