Individual
KEVIN MICHAEL DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
907 E LAMAR ALEXANDER PKWY, MARYVILLE, TN 37804-5015
(865) 980-4897
(865) 977-4722
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
58749
TN
208M00000X
Hospitalist Physician
Primary
58749
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q042758
—
TN
Enumeration date
05/09/2016
Last updated
05/11/2026
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