Individual
MR. KEVIN P DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D
Contact information
Practice address
1503 OHIO ST, LEAVENWORTH, KS 66048-2932
(888) 362-8704
Mailing address
3545 TUDOR DR, LEAVENWORTH, KS 66048-5301
(913) 682-8700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2117
KS
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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