Provider Demographics
NPI:1437957982
Name:DONEGAN, KELLY (APN)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:
Last Name:DONEGAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:153 PEREGRINE DR
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043-1667
Mailing Address - Country:US
Mailing Address - Phone:856-217-7024
Mailing Address - Fax:
Practice Address - Street 1:247 HURFFVILLE CROSSKEYS RD STE 2-C
Practice Address - Street 2:
Practice Address - City:SEWELL
Practice Address - State:NJ
Practice Address - Zip Code:08080-4014
Practice Address - Country:US
Practice Address - Phone:856-262-4750
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-03
Last Update Date:2025-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ15217700363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health