Individual
DR. KYLE DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2020 BLUESTONE DR, SAINT CHARLES, MO 63303-5974
(636) 946-6117
(636) 946-2776
Mailing address
2020 BLUESTONE DR, SAINT CHARLES, MO 63303-5974
(636) 946-6117
(636) 946-2776
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
2001005311
MO
Other
Enumeration date
10/04/2006
Last updated
07/25/2013
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