Individual
MS. KELLY ANN DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
26300 WOODWARD AVE, ROYAL OAK, MI 48067-0917
(248) 336-4000
(248) 336-9137
Mailing address
18000 W 9 MILE RD STE 200, SOUTHFIELD, MI 48075-4020
(248) 336-4000
(248) 336-9137
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4704300219NSA190JQ
MI
Other
Enumeration date
07/10/2019
Last updated
12/16/2025
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