Individual
KEVIN MICHAEL DONOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
10 MEMBERS WAY STE 201, DOVER, NH 03820-5933
(603) 742-2263
(603) 740-7116
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(603) 742-2263
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12099
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3077131
—
NH
Enumeration date
12/14/2006
Last updated
01/27/2022
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