National Provider Identifier
Kevin Michael Dougherty, REGISTERED NURSE
Kevin Michael Dougherty, REGISTERED NURSE is listed in the NPPES registry with a primary specialty of Registered Nurse in Rochester, NY and a listed phone number of (914) 450-0437.
Profile Overview
- NPI
- 1013694942
- Provider Type
- Individual
- Primary Specialty
- Registered Nurse
- Enumeration Date
- July 03, 2023
- Last Updated
- July 03, 2023
Practice Location
- 267 Oxford St Apt 401
- Rochester, NY 14607-2140
Phone: (914) 450-0437
Specialties
- Registered Nurse (163W00000X)
Full Record
- NPI
- 1013694942
- Entity Type
- Individual
- Last Name
- Dougherty
- First Name
- Kevin
- Middle Name
- Michael
- Credential
- REGISTERED NURSE
- Mailing Street Address
- 267 Oxford St Apt 401
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-2140
- Mailing Country
- US
- Mailing Phone
- (914) 450-0437
- Practice Street Address
- 267 Oxford St Apt 401
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-2140
- Practice Country
- US
- Practice Phone
- (914) 450-0437
- Enumeration Date
- July 03, 2023
- Last Updated
- July 03, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- July 02, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Registered Nurse (163W00000X)