Individual
DR. KELLY MARIE DONOHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
323 W MAPLE ST, CARSON CITY, MI 48811-9677
(989) 584-3171
(989) 584-3013
Mailing address
323 W MAPLE ST, CARSON CITY, MI 48811-9677
(989) 584-3171
(989) 584-3013
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901020348
MI
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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