Organization
KD MEDICINE & WELLNESS PLLC
Active
Other names
KD Medicine & Wellness, KD Medicine & Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH R DOVIDIO PA-C,MHP (PHYSICIAN ASSISTANT)
(508) 641-0235
Entity
Organization
Contact information
Practice address
565 TURNPIKE ST STE 71, NORTH ANDOVER, MA 01845-5936
(508) 641-0235
Mailing address
565 TURNPIKE ST STE 71, NORTH ANDOVER, MA 01845-5936
(508) 641-0235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
10/15/2021
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