Dougherty, Kenneth James

Dougherty, Kenneth James is an individual health care provider with primary practice located at 665 N Dixie Fwy , New Smyrna Beach FL 32168-6405. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Dougherty, Kenneth James can be contacted via phone (386) 423-5259.

Contact Information

Primary practice address
665 N Dixie Fwy New Smyrna Beach FL 32168-6405
Fax: (386) 423-0929
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3545 Florida

Profile Details

NPI number 1225027600
LBN Legal business name Dougherty, Kenneth James
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 8th, 2007 - 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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