Doherty, Kathleen
Doherty, Kathleen is an individual health care provider with primary practice located at 247 Main St , Dickson City PA 18519-1641. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Doherty, Kathleen can be contacted via phone (570) 291-4180.Contact Information
Primary practice address
247 Main St
Dickson City PA 18519-1641
Phone: (570) 291-4180
Fax: (570) 586-3953
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | SP025239 | Pennsylvania |
Profile Details
| NPI number | 1629776125 |
|---|---|
| LBN Legal business name | Doherty, Kathleen |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2023 |
| Last updated | Feb 23rd, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629776125 | NPPES |
| Pennsylvania | MEDICAID | 1457301145 |
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