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1336180249
KEVIN PATRICK DOHERTY
CHESTERFIELD, MO
NPI
1336180249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: MO 2006009447)
Enumeration Date
2006-06-10
Last Update Date
2010-05-11
Business Address
Mr. KEVIN PATRICK DOHERTY PT
14825 N OUTER FORTY ROAD SUITE 300
CHESTERFIELD, MO 63005-0002
Phone number: 636-812-1211
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Mailing Address
Mr. KEVIN PATRICK DOHERTY PT
13537 BARRETT PARKWAY DRIVE SUITE 105
BALLWIN, MO 63021-5866
Phone number: 314-821-9126
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