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KATHLEEN DOHERTY CRNP
NPI 1629776125
Nurse Practitioner - Primary Care in Clarks Summit, PA

Active since February 23, 2023
255 E GROVE STREET, CLARKS SUMMIT, PA 18411(570) 209-7878 Get Directions Write a Review

NPPES record last updated: August 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 13, 2024, Aug 5, 2024, Feb 23, 2023 (3 updates tracked since 2023).

About Kathleen Doherty Crnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN DOHERTY CRNP (NPI 1629776125) is an individual primary care provider in Clarks Summit, Pennsylvania, licensed in Pennsylvania (SP025239) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1629776125
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameKATHLEEN DOHERTYCredential: CRNP
Location Address255 E GROVE STREETClarks Summit, PA 18411
Mailing Address255 E Grove StClarks Summit, PA 18411 · (570) 209-7878
Phone(570) 209-7878
Sole ProprietorNo
Enumeration DateFebruary 23, 2023
Last NPPES UpdateAugust 13, 20243 updates tracked since enumeration
NPPES CertifiedAugust 6, 2024
✔ NPI 1629776125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in PA · SP025239
255 E GROVE STREET, Clarks Summit, PA 18411
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Other Identifiers 1

Medicaid1295736742PA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Doherty's NPI number?

The NPI number for Kathleen Doherty is 1629776125. It was assigned to this individual provider in the NPPES registry on February 23, 2023.

Where is Kathleen Doherty located?

Kathleen Doherty practices at 255 E Grove Street, Clarks Summit, PA 18411. The listed phone number is (570) 209-7878.

What is Kathleen Doherty's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Kathleen Doherty was last updated on August 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.