Individual
DR. KILIE JEAN DONOVAN
Active
Individual
DR. KILIE JEAN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
30158
NE
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
30158
NE
208M00000X
Hospitalist Physician
30158
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026480121
—
NE
05
—
1467867614
—
IA
05
—
470687316
—
NE
Enumeration date
06/26/2014
Last updated
04/03/2024
Update your record
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