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Individual

MS. KELLY LYNN DONOVAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A, M.F.T.

Contact information

Practice address
75-5591 KUAKINI HWY STE 3006, KAILUA KONA, HI 96740
(808) 938-4162
(808) 331-8485
Mailing address
73-4322 KEOKEO ST, KAILUA KONA, HI 96740-8540
(808) 938-4162
(808) 331-8485

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
106H00000X
Marriage & Family Therapist
Primary
179
HI

Other

Enumeration date
11/26/2007
Last updated
12/11/2007
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