Individual
KELLY DONIHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C, ATC
Contact information
Practice address
430 SAYBROOK RD, MIDDLETOWN, CT 06457-4747
(860) 685-8940
(860) 685-8944
Mailing address
430 SAYBROOK RD, MIDDLETOWN, CT 06457-4747
(860) 685-8940
(860) 685-8944
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
001416
CT
363AS0400X
Surgical Physician Assistant
Primary
4393
CT
Other
Enumeration date
12/16/2018
Last updated
02/14/2024
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