Search › California › 106H00000X
Kathleen Dougherty
NPI 1235492786 · on the registry since 2012
Practice
- Address
- 14700 Manzanita Park Rd
Beaumont, CA 92223 - Phone
- (951) 845-3155
- Fax
- (951) 845-8412
- Clinicians at this address
- 42
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-06-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California