Individual
DR. KEVIN M. DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHARM.D
Contact information
Practice address
1000 MEMORIAL DR, DENISON, TX 75020-2035
(903) 416-4072
Mailing address
1130 W BOND ST, DENISON, TX 75020-2106
(903) 647-7363
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
444185
TX
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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