Daugherty, Kierstin Rene

Daugherty, Kierstin Rene is an individual health care provider with primary practice located at 5220 Northshore Dr , North Little Rock AR 72118-5297. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Daugherty, Kierstin Rene can be contacted via phone (501) 663-6455.

Contact Information

Primary practice address
5220 Northshore Dr North Little Rock AR 72118-5297
Fax: (501) 663-4877
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA14101

Profile Details

NPI number 1356937593
LBN Legal business name Daugherty, Kierstin Rene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2020
Last updated May 29th, 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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