Individual
KELLYE ANN DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM. D., MHA, PHD
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
48 SURVEYORS WAY, STAFFORD, VA 22554-8602
(401) 835-7939
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
2008020954
MO
Other
Enumeration date
07/22/2008
Last updated
02/02/2023
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