Individual
KEVIN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
275 SANDWICH ROAD, JORDAN HOSPITAL, PLYMOUTH, MA 02360
(781) 344-2325
Mailing address
275 SANDWICH ST, PLYMOUTH, MA 02360-2183
(508) 746-2000
(781) 341-8544
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
250820
MA
Other
Enumeration date
12/19/2006
Last updated
12/19/2018
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