Individual
KEVIN RICHARD DOHERTY II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
599 CANAL ST, LORENZO BUILDING, LAWRENCE, MA 01840-1244
(978) 686-8202
Mailing address
599 CANAL ST, LORENZO BUILDING, LAWRENCE, MA 01840-1244
(978) 686-8202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
MA
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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