Daugherty, Kelli Ann

Daugherty, Kelli Ann is an individual health care provider with primary practice located at 544 W Pershing Rd Ste A , Decatur IL 62526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Daugherty, Kelli Ann can be contacted via phone (217) 872-2400.

Contact Information

Primary practice address
544 W Pershing Rd Ste A Decatur IL 62526
Phone: (217) 872-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209.015343 Illinois

Profile Details

NPI number 1619400447
LBN Legal business name Daugherty, Kelli Ann
Credentials CNM, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2017
Last updated Jul 21st, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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