Dougherty, Kathleen C

Dougherty, Kathleen C is an individual health care provider with primary practice located at 802 New Holland Ave , Lancaster PA 17602-2163. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Geriatric Psychiatry is her primary health care specialty. Dougherty, Kathleen C can be contacted via phone (717) 560-3782.

Contact Information

Primary practice address
802 New Holland Ave Lancaster PA 17602-2163
Phone: (717) 560-3782
Fax: (717) 560-3787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD041845L Pennsylvania
Allopathic & Osteopathic Physicians / Forensic Psychiatry 2084F0202X MD041845L Pennsylvania
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X MD041845L Pennsylvania

Profile Details

NPI number 1811958895
LBN Legal business name Dougherty, Kathleen C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Aug 19th, 2007 - about 19 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 1811958895 NPPES
Pennsylvania Other 233185 VALUE OPTIONS
Pennsylvania Other 50056697 VALUE OPTIONS
Pennsylvania MEDICAID 12204570004 VALUE OPTIONS
Pennsylvania Other 621495 VALUE OPTIONS
Pennsylvania MEDICAID 0012204570001 VALUE OPTIONS
Pennsylvania MEDICAID 0012204570005 VALUE OPTIONS

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