Individual
KILEY JANE DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1860 FAIRVIEW RD SW, CAMDEN, AR 71701-6016
(870) 310-0279
Mailing address
1860 FAIRVIEW RD SW, CAMDEN, AR 71701-6016
(870) 310-0279
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
AR
Other
Enumeration date
04/05/2021
Last updated
08/05/2026
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