Individual
MRS. KELLI M DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2109 HUGHES DR STE 450, TOLEDO, OH 43606-5102
(419) 291-2003
(419) 479-6977
Mailing address
1 SEAGATE, SUITE 800, TOLEDO, OH 43604-1558
(567) 585-1945
(419) 824-7359
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50005003RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0214875
—
OH
Enumeration date
02/13/2017
Last updated
11/03/2023
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