Individual
KEVIN PATRICK DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
25 HIGHLAND AVE, RADIOLOGY DEPT., NEWBURYPORT, MA 01950-3867
(978) 463-1120
Mailing address
84 CENTRE LN, MILTON, MA 02186-3933
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
245592
MA
2085R0202X
Diagnostic Radiology Physician
Primary
245592
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110088471A
—
MA
Enumeration date
04/30/2008
Last updated
08/06/2012
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