Daugherty, Kelly L
Daugherty, Kelly L is an sole proprietor health care provider with primary practice located at 151 Mystic Ave Suite Six, Medford MA 02155-4632. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Daugherty, Kelly L can be contacted via phone (781) 396-1199.Contact Information
Primary practice address
151 Mystic Ave Suite Six
Medford MA 02155-4632
Phone: (781) 396-1199
Fax: (781) 396-1439
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1770759003 |
|---|---|
| LBN Legal business name | Daugherty, Kelly L |
| Credentials | MHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 6th, 2008 |
| Last updated | May 6th, 2008 - about 17 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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