Kenneth Wayne Donovan in New London - Internal Medicine
Kenneth Wayne Donovan - NPI 1669447207
Kenneth Wayne Donovan is a Internal Medicine in New London, Connecticut. Kenneth Wayne Donovan practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Kenneth Wayne Donovan is 1669447207. The last update date is 2008-02-27.
Kenneth Wayne Donovan's current location address is 365 Montauk Ave, New London, Connecticut. You can contact this provider via phone number 8604420711 and fax number 8604445114. The mailing address for Kenneth Wayne Donovan is 365 Montauk Ave, New London, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Wayne Donovan |
|---|---|
| Address | 365 Montauk Ave, New London, Connecticut |
| Phone Number | 8604420711 |
| Fax Number | 8604445114 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1669447207 |
|---|---|
| Provider Enumeration Date | 2006-02-17 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | 365 Montauk Ave |
|---|---|
| City | New London |
| State | Connecticut (CT) |
| Post Code | 63204700 |
| Phone Number | 8604420711 |
| Fax Number | 8604445114 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 42916 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1429168 | CT | -- |
Post Comment/ Review Below
What is the Kenneth Wayne Donovan's 1669447207?
The Kenneth Wayne Donovan's NPI (National Provider Identifier) Number is 1669447207. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kenneth Wayne Donovan?
The Kenneth Wayne Donovan is physically situated at 365 Montauk Ave, in the city of New London, state of CT, with the postal code 63204700.
What is the area of specialization for Kenneth Wayne Donovan, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Kenneth Wayne Donovan is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date was the 1669447207 assigned to Kenneth Wayne Donovan?
The Kenneth Wayne Donovan was issued its 1669447207 on 2006-02-17, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Kenneth Wayne Donovan most recently updated or revised?
The information pertaining to Kenneth Wayne Donovan, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-27.
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