Individual
DR. KEVIN JOHN DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11040 N STATE RD 77, HAYWARD, WI 54843-3606
(715) 934-4829
(715) 934-4273
Mailing address
11040 N STATE RD 77, HAYWARD, WI 54843-3606
(715) 934-4829
(715) 934-4273
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.44664
AL
207Q00000X
Family Medicine Physician
Primary
MD.44664
AL
Other
Enumeration date
06/17/2019
Last updated
08/17/2023
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