Individual
NICHOLAS DONOHUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2861 NE INDEPENDENCE AVE STE 201, LEES SUMMIT, MO 64064-2379
(816) 525-2840
Mailing address
2861 NE INDEPENDENCE AVE STE 201, LEES SUMMIT, MO 64064-2379
(816) 525-2840
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
2022037936
MO
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/06/2017
Last updated
03/22/2023
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