Individual provider · Type 1 NPI

Kelly Ann Doherty, FNP

Family Nurse Practitioner · Royal Oak, MI

NPI number 1760034862 Active

Practice location

26300 Woodward Ave
Royal Oak, MI 48067-0917

Fax (248) 336-9137

Mailing address

18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704300219NSA190JQ (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1760034862

Kelly Ann Doherty, FNP's National Provider Identifier is 1760034862, issued on Jul 10, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Royal Oak, MI. The record was last updated on Dec 16, 2025.