Daugherty, Kelly Eli

Daugherty, Kelly Eli is an individual health care provider with primary practice located at 2200 Nw 26Th St , Owatonna MN 55060-5503. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Daugherty, Kelly Eli can be contacted via phone (507) 451-1120.

Contact Information

Primary practice address
2200 Nw 26Th St Owatonna MN 55060-5503
Phone: (507) 451-1120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PAC0622 North Dakota
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 12173 Minnesota

Profile Details

NPI number 1548635014
LBN Legal business name Daugherty, Kelly Eli
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2015
Last updated Feb 9th, 2024 - about last year

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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