Individual
KEVIN JOSEPH DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10701 EAST BLVD, CLEVELAND, OH 44106-1702
(216) 791-3800
Mailing address
61 HAWTHORNE DR, ORCHARD PARK, NY 14127-1958
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV009196
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2020
Last updated
12/26/2020
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