Kelly Ann Doty PA

NPI 1003867474 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1003867474
Gender Female
Enumeration Date 05/12/2006
Last Updated 03/17/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
825 DELBON AVE
TURLOCK CA, 95382-2016, US
Phone (209) 342-2300
Fax (209) 524-4240
Business Location
4301 NORTH STAR WAY
MODESTO CA, 95356-9262, US
Phone
Fax
Toxanomy
Taxonomy Code 363L00000X
License State California
License Number 7673
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According to our database, Kelly Ann Doty PA NPI is 1003867474, taxonomy code is 363L00000X and license number is 7673, license state is located at California. Kelly Ann Doty PA physically located at 825 Delbon Ave, Turlock CA, 95382-2016. NPI Number Kelly Ann Doty PA has the Individual type.

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1003867474 NPI number is provided on an as is basis without warranty of any kind. 1003867474 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Ann Doty PA are for informational purposes only.