National Provider Identifier Database

KEVIN R DOUGHERTY, MD – NPI #1114188711
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

KEVIN R DOUGHERTY, MD
85 SEYMOUR ST
SUITE 719
HARTFORD, CT06106-5501
Phone: 860-522-0604
Fax: 860-522-1761
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for KEVIN R DOUGHERTY

NPI Number 1114188711
Credentials MD
Entity Individual
Enumeration date 06/17/2008
Last updated 05/20/2015 - About 11 years ago
Sole proprietor1 Yes
Identifiers
  • CT License #: 52940
  • MA License #: 247283
  • CT Other: C00585 MEDICARE PTAN
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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