Individual
DR. KEVIN JONATHAN DONOHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
200 PARK AVE, FALLS CHURCH, VA 22046
(571) 634-3636
(703) 237-7959
Mailing address
200 PARK AVE, FALLS CHURCH, VA 22046
(571) 634-3636
(703) 237-7959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0102204868
VA
207R00000X
Internal Medicine Physician
Primary
OT012719
PA
Other
Enumeration date
06/28/2008
Last updated
11/17/2021
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