Individual
MR. KEVIN DOHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
2300 S ROCK CREEK PKWY, CROSS CREEK RETAIL CENTER, SUPERIOR, CO 80027-4409
(303) 725-6208
Mailing address
543 BUCKTHORN WAY, LOUISVILLE, CO 80027-2716
(303) 725-6208
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
827
CO
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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