Individual
KASSIE DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 N CAMERON ST STE 100, WINCHESTER, VA 22601-6018
(205) 901-4192
Mailing address
301 N CAMERON ST, WINCHESTER, VA 22601-4899
(540) 536-1680
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006578
VA
Other
Enumeration date
02/13/2019
Last updated
09/08/2021
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