Individual
KELLY A DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
15 CONSTITUTION DR FL 1, BEDFORD, NH 03110-6042
(603) 923-9119
(603) 749-2453
Mailing address
40 SAINT MATTHEWS DR, BARRINGTON, NH 03825-5037
(603) 767-0554
(603) 749-2453
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
04891221
NH
363LF0000X
Family Nurse Practitioner
Primary
048912-23
NH
363LF0000X
Family Nurse Practitioner
101.0135067
VT
363LF0000X
Family Nurse Practitioner
151176
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30341526
—
NH
Enumeration date
01/09/2006
Last updated
03/24/2022
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