Individual
MR. KIERAN MICHAEL DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
302 N INDEPENDENCE ST STE 408, ENID, OK 73701-4097
(580) 634-3317
(580) 565-1019
Mailing address
302 N INDEPENDENCE ST STE 408, ENID, OK 73701-4097
(580) 634-3317
(580) 565-1019
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
203743
OK
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
203743
OK
Other
Enumeration date
02/05/2024
Last updated
04/03/2026
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