KATHLEEN DONOVAN MD
NPI 1437151412
Nurse Practitioner - Family in Gorham, NH

Active since August 10, 2005
2 BROADWAY AVE, GORHAM, NH 03581(603) 752-2040(603) 752-7797 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kathleen Donovan Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN DONOVAN MD (NPI 1437151412) is an individual family provider in Gorham, New Hampshire, licensed in New Hampshire (0210072303) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1437151412
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHLEEN DONOVANCredential: MD
Location Address2 BROADWAY AVEGorham, NH 03581-1502
Mailing Address133 Pleasant StBerlin, NH 03570-2006 · (603) 752-2040 · Fax (603) 752-7797
Fax(603) 752-7797
Sole ProprietorNo
Enumeration DateAugust 10, 2005
Last NPPES UpdateMarch 7, 2023
NPI 1437151412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NH · 0210072303
2 BROADWAY AVE, Gorham, NH 03581

Other Identifiers 7

Other23YP02556NH02NH · Anthem Bc/bs
Medicaid3072649NH
Other9680107001NH · Cigna Healthcare
Other020350051Federal Tax Id
Medicaid30342708NH
Other5830418Aetna Group
Other0210072303NH · State License #

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
2 BROADWAY AVE
GORHAM, NH 03581
Nurse Practitioner (Family)
2 BROADWAY AVE
GORHAM, NH 03581
Pediatrics
2 BROADWAY AVE
GORHAM, NH 03581
Clinic/Center (Federally Qualified Health Center (FQHC))
2 BROADWAY AVE
GORHAM, NH 03581
Podiatrist (Foot Surgery)
2 BROADWAY AVE
GORHAM, NH 03581
Family Medicine
2 BROADWAY AVE
GORHAM, NH 03581
Family Medicine
2 BROADWAY AVE
GORHAM, NH 03581
Physician Assistant (Medical)
2 BROADWAY AVE
GORHAM, NH 03581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Donovan's NPI number?

The NPI number for Kathleen Donovan is 1437151412. It was assigned to this individual provider in the NPPES registry on August 10, 2005.

Where is Kathleen Donovan located?

Kathleen Donovan practices at 2 Broadway Ave, Gorham, NH 03581. The listed phone number is (603) 752-2040.

What is Kathleen Donovan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kathleen Donovan was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.