Individual
KATELYNN GENEVIEVE DOUGHERTY SOPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
227 SAINT PAUL ST, BALTIMORE, MD 21202-2001
(410) 783-5858
Mailing address
13 PATCHWORK CT, MONKTON, MD 21111-1604
(443) 829-9609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R192850
MD
Other
Enumeration date
08/01/2021
Last updated
08/01/2021
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