Doherty, Kevin L

Doherty, Kevin L is an individual health care provider with primary practice located at 597 Center Ave Suite 200A, Martinez CA 94553-4640. He recently has only one registered license in Nursing Service Providers / Case Management, which is considered as his primary health care specialty. Doherty, Kevin L can be contacted via phone (925) 676-6735.

Contact Information

Primary practice address
597 Center Ave Suite 200A Martinez CA 94553-4640
Phone: (925) 676-6735
Fax: (925) 676-6465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Case Management 163WC0400X 468098 California

Profile Details

NPI number 1437555885
LBN Legal business name Doherty, Kevin L
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2014
Last updated Nov 12th, 2014 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437555885 NPPES
California Other 468098 REGISTERED NUSE LICENSE

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