Individual provider · NPI-1

Kevin Michael Donovan, DO

Family Medicine · Dover, NH

NPI number1801958186
StatusActive
Last updated in NPPESJan 27, 2022

Details

NPI
1801958186
Entity type
Individual (NPI-1)
Name
Kevin Michael Donovan
Credential
DO
Sex
Male
Sole proprietor
No
Enumeration date
Dec 14, 2006
Certification date
Jan 27, 2022
Last updated
Jan 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine12099NHYes

Practice location

10 Members Way Ste 201
Dover, NH 03820-5933

Phone 603-742-2263 · Fax 603-740-7116

Mailing address

Po Box 412503
Boston, MA 02241-2503

Phone 603-742-2263

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