Individual
TERRY J DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
931 S WASHINGTON ST, KOKOMO, IN 46901
(765) 453-0200
(765) 453-0220
Mailing address
215 SHUMAN BLVD STE 401, NAPERVILLE, IL 60563-8123
(630) 303-5380
(630) 303-5385
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
23001965
IN
Other
Enumeration date
12/20/2005
Last updated
07/19/2018
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