Individual
KYLIE DONAHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 KENNEDY DR, PUTNAM, CT 06260-1939
(860) 928-0414
Mailing address
128 SOUTH ST, AUBURN, MA 01501-2748
(978) 304-6959
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3.003388
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2024
Last updated
07/22/2025
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