KELLY DAUGHERTY, PA-C
Physician Assistant
Active
Individual
NPI: 1548635014
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 12173 (MN) |
| Physician Assistant - Surgical | 363AS0400X | No | PAC0622 (ND) |
Frequently Asked Questions
NPI 1548635014 is the National Provider Identifier for KELLY DAUGHERTY, PA-C, a Physician Assistant provider located in Owatonna, MN. This NPI was enumerated on December 9, 2015.
KELLY DAUGHERTY, PA-C practices at 2200 NW 26TH ST, Owatonna, MN 55060.
Quick Facts
- NPI
- 1548635014
- Type
- Individual
- Enumerated
- Dec 9, 2015
- Last Updated
- Feb 9, 2024
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