National Provider Identifier Database

KENNEDY DONOVAN CENTER INC
Voluntary or Charitable


Contact Information

KENNEDY DONOVAN CENTER, INC
25 FOREST ST
ATTLEBORO, MA02703-2407
Phone: 508-226-6035
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for KENNEDY DONOVAN CENTER, INC

NPI Number 1750487245
Legal business name
LBN
KENNEDY DONOVAN CENTER, INC
Authorized official KEVIN RODMAN-CONARE - (CEO/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/15/2006
Last updated 07/15/2010 - About 16 years ago
Sole proprietor1 Not specified
Identifiers
  • MA Medicaid: 1800604
  • MA Medicaid: 1800612
  • MA Medicaid: 1800647
  • MA Medicaid: 1802453
  • MA Other: 000000021539 EARLY INTERVENTION
  • MA Other: 0008524 EARLY INTERVENTION
  • MA Other: 601795 EARLY INTERVENTION
  • MA Other: EI0025 EARLY INTERVENTION
  • MA Other: KD0001 EARLY INTERVENTION

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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