Dougherty, Kathryn Jordan
Dougherty, Kathryn Jordan is an individual health care provider with primary practice located at 638 Brandywine Pkwy , West Chester PA 19380-4278. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Dougherty, Kathryn Jordan can be contacted via phone (610) 436-3600.Contact Information
Primary practice address
638 Brandywine Pkwy
West Chester PA 19380-4278
Phone: (610) 436-3600
Fax: (610) 436-3606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT017564 | Pennsylvania |
Profile Details
| NPI number | 1578689790 |
|---|---|
| LBN Legal business name | Dougherty, Kathryn Jordan |
| Credentials | PT, MPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 21st, 2007 |
| Last updated | Dec 2nd, 2015 - about 9 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 | 1578689790 | NPPES |
| Pennsylvania | MEDICAID | 1018303320001 |
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