Organization
KENNEDY DONOVAN CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN RODMAN-CONARE (CEO/PRESIDENT)
(508) 543-2542
Entity
Organization
Contact information
Practice address
25 FOREST ST, ATTLEBORO, MA 02703-2407
(508) 226-6035
Mailing address
1 COMMERCIAL ST, FOXBORO, MA 02035-2530
(508) 543-2542
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000021539
EARLY INTERVENTION
MA
01
—
0008524
EARLY INTERVENTION
MA
05
—
1800604
—
MA
05
—
1800612
—
MA
05
—
1800647
—
MA
05
—
1802453
—
MA
01
—
601795
EARLY INTERVENTION
MA
01
—
EI0025
EARLY INTERVENTION
MA
01
—
KD0001
EARLY INTERVENTION
MA
Enumeration date
09/15/2006
Last updated
07/15/2010
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