Individual
ANNE T DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
13260 SERVICE RD, WALTON, KY 41094
(859) 485-4116
(859) 485-1389
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 485-4116
(859) 485-1389
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35873
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080189358
RAILROAD MEDICARE
KY
05
—
2324032
—
OH
05
—
64050966
—
KY
01
—
P00839842
RAILROAD MEDICARE
KY
Enumeration date
06/13/2006
Last updated
09/07/2018
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