Organization
KENNETH DONOVAN DPM LLC
Active
Other names
Advanced Care Foot and Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH JAMES DONOVAN DPM (OWNER)
(908) 605-0799
Entity
Organization
Contact information
Practice address
9 MOUNT BETHEL RD, SUITE 209, WARREN, NJ 07059-5603
(908) 605-0799
(908) 450-1558
Mailing address
9 MOUNT BETHEL RD, SUITE 209, WARREN, NJ 07059-5603
(908) 605-0799
(908) 450-1558
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00302600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0951412
—
NJ
Enumeration date
02/06/2012
Last updated
04/20/2025
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