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Contact Information

KIMBERLY P DOUGHARTY, LPAT
4730 BECKNER RD
SANTA FE, NM87507-3691
 Phone: 505-989-4500
 Fax: 505-443-8313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Art Therapist

221700000X
Indicates primary specialty

NPI Profile & details for KIMBERLY P DOUGHARTY · (Female)

NPI # 1487428843
Status Active
Credentials LPAT
Entity Individual
Enumeration date 11/07/2023
Last updated 11/07/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NM License # CTB20230922
Hospital affiliation(s) Not Available
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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