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Individual
MS. KRISTIN LEIGH DOHERTY
Active
Individual
MS. KRISTIN LEIGH DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, AGPCNP-BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R206176
MD
363LA2200X
Adult Health Nurse Practitioner
R206176
MD
363LG0600X
Gerontology Nurse Practitioner
R206176
MD
363LP2300X
Primary Care Nurse Practitioner
R206176
MD
Other
Enumeration date
04/03/2015
Last updated
12/19/2018
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