Provider Demographics
NPI:1992770317
Name:DONO, KRISTEN D (DPT)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:D
Last Name:DONO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 JUANITA LN
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28560-8228
Mailing Address - Country:US
Mailing Address - Phone:252-636-0512
Mailing Address - Fax:
Practice Address - Street 1:300 JUANITA LN
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-8228
Practice Address - Country:US
Practice Address - Phone:252-259-3699
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-20
Last Update Date:2008-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305204689225100000X
NC10288225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist