Individual
KEVIN DOHERTY
Active
Individual
KEVIN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
010340
NY
Other
Enumeration date
04/11/2008
Last updated
04/11/2008
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