Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLEY DOEHRTY, LCOTA
Active Sole ProprietorKELLEY DOEHRTY, LCOTA is a Skilled Nursing Facility healthcare provider located in SHREVEPORT, Louisiana. NPI 1760878797 is currently active in the NPPES registry. Verify at CMS.
Skilled Nursing Facility · SHREVEPORT, LA
Registration Details
- NPI Number
- 1760878797
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 7, 2015 (11.330177458319 yrs)
- Last Updated
- Apr 7, 2015
- License
-
Z20635 (LA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
530 STRATMORE DRSHREVEPORT, LA, 711153020Browse LA providers · Browse ZIP 71115
- Phone
- 3187983510
- Primary Specialty
-
Skilled Nursing Facility
314000000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.