Individual
MR. KENNETH WILLIAM DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
51 IVY RIDGE LN, FISHERSVILLE, VA 22939-2339
(540) 245-7262
(540) 245-7054
Mailing address
PO BOX 388, FISHERSVILLE, VA 22939-0388
(540) 932-5162
(540) 932-5875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110004489
VA
Other
Enumeration date
02/18/2014
Last updated
08/11/2023
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