Dougan, Kathryn

Dougan, Kathryn is an sole proprietor health care provider with primary practice located at 910 N Jefferson St , Jacksonville FL 32209-6810. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Other Service Providers / Case Manager/Care Coordinator, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist is her primary health care specialty. Dougan, Kathryn can be contacted via phone (904) 360-7022.

Contact Information

Primary practice address
910 N Jefferson St Jacksonville FL 32209-6810
Phone: (904) 360-7022
Fax: (904) 798-4545
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X 171MOOOOOX Florida
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 811704700 Florida
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1568580330
LBN Legal business name Dougan, Kathryn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 27th, 2007
Last updated Mar 13th, 2019 - about 5 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 1568580330 NPPES
Florida MEDICAID 811704700

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