Individual
DR. CHARLES D DONOHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-5271
Mailing address
2310 HOLMES ST, STE 800, KANSAS CITY, MO 64108-2602
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-20885
KS
2084N0400X
Neurology Physician
Primary
R7396
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0420885
KS LICENSE
KS
05
—
209250703
—
MO
01
—
R7396
MISSOURI LICENSE
MO
Enumeration date
12/16/2005
Last updated
11/30/2020
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