Kenya Earnessa Donovan, KENYA
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bridgewater, VA
NPI 1235787359 · NPPES record last updated Sep 2, 2019
Key facts
- NPI
- 1235787359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 204 E College St
Bridgewater, VA 22812-1507 - Phone
- (917) 653-3425
- NPI assigned
- Sep 2, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | VA | Yes |
Addresses
Primary practice location
204 E College St
Bridgewater, VA 22812-1507
Mailing address
1087 Woodbury Cir Apt 104
Harrisonburg, VA 22802-2660
Phone (917) 653-3425
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NA | Other | NJ | NOT NEEDED |
Other names
- Kenya Earnessa Donovan
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | . | ||
| Other URL | . | ||
| Other URL | . |
Other providers in Bridgewater, VA
- Mary Grace Davy
- Amrita De Zoysa
- Jordan Dent
- Dicksons Drug Store
- Leanne Elizabeth Dolan
- Barbara Dotson-Brooner
- Thomas Christopher Draper
- Dorothy Marie Easter
- Yetbarek Fekadu
- Heather Abbe Fincham
All providers in Bridgewater, VA · Student in an Organized Health Care Education/Training Program in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.