Provider Demographics
NPI:1942822655
Name:DORAN, KATELYNN MARIE (PHARMD, BCPS)
Entity type:Individual
Prefix:DR
First Name:KATELYNN
Middle Name:MARIE
Last Name:DORAN
Suffix:
Gender:F
Credentials:PHARMD, BCPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 WOOD LILY RD
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:IA
Mailing Address - Zip Code:52333-4727
Mailing Address - Country:US
Mailing Address - Phone:405-628-5935
Mailing Address - Fax:
Practice Address - Street 1:701 W FOREVERGREEN RD
Practice Address - Street 2:STE 1605
Practice Address - City:NORTH LIBERTY
Practice Address - State:IA
Practice Address - Zip Code:52317-9848
Practice Address - Country:US
Practice Address - Phone:319-485-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-15
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA237451835P0200X, 183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
No1835P0200XPharmacy Service ProvidersPharmacistPediatrics