Individual
DR. KENNETH JAMES DONOVAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M
Contact information
Practice address
9 MOUNT BETHEL RD, SUITE 9, WARREN, NJ 07059-5603
(908) 605-0799
(908) 450-1558
Mailing address
9 MOUNT BETHEL RD, SUITE 9, WARREN, NJ 07059-5603
(908) 605-0799
(908) 450-1558
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
25MD00302600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0231622
—
NJ
Enumeration date
02/23/2009
Last updated
02/03/2024
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