Doherty, Kevin Glen

Doherty, Kevin Glen is an individual health care provider with primary practice located at 6511 Taggart Rd , Delaware OH 43015-8893. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Doherty, Kevin Glen can be contacted via phone (740) 548-6180.

Contact Information

Primary practice address
6511 Taggart Rd Delaware OH 43015-8893
Phone: (740) 548-6180
Fax: (740) 548-1882
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34.005332 Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 34005332 Ohio

Profile Details

NPI number 1518069236
LBN Legal business name Doherty, Kevin Glen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated May 31st, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518069236 NPPES
Other 000000319608 BCBS GREENFIELD
Other 000000591796 BCBS GREENFIELD
MEDICAID 0861367 BCBS GREENFIELD

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