MR. JACQUELINE PERDUE-DORATHY, LPN

Licensed Practical Nurse

Active Individual
NPI: 1285854828

Practice Address

550 POPE AVE
Fort Leavenworth, KS 66027

Phone: (913) 681-6170

Specialties

Specialty Code Primary License
Licensed Practical Nurse 164W00000X Yes 23-27018-081 (KS)

Frequently Asked Questions

NPI 1285854828 is the National Provider Identifier for MR. JACQUELINE PERDUE-DORATHY, LPN, a Licensed Practical Nurse provider located in Fort Leavenworth, KS. This NPI was enumerated on April 26, 2007.
MR. JACQUELINE PERDUE-DORATHY, LPN practices at 550 POPE AVE, Fort Leavenworth, KS 66027.

Quick Facts

NPI
1285854828
Type
Individual
Enumerated
Apr 26, 2007
Last Updated
Jul 8, 2007

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