Individual
MR. KEVIN EUGENE DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1007 MILITARY ST, PORT HURON, MI 48060-5416
(810) 987-7050
Mailing address
275 SCOTT RD, KIMBALL, MI 48074-4303
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301002387
MI
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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