Individual
KEVIN L DONAHOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 N HILLSIDE ST, WICHITA, KS 67214-4910
(316) 962-2000
(303) 306-7753
Mailing address
PO BOX 5607, DENVER, CO 80217-5607
(303) 306-7783
(303) 306-7753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
KS04-40484
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/03/2010
Last updated
12/12/2017
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