Dougherty, Kim A.

Dougherty, Kim A. is an sole proprietor health care provider with primary practice located at 211 Nautica Mile Dr , Clermont FL 34711-2474. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Dougherty, Kim A. can be contacted via phone (352) 255-3629.

Contact Information

Primary practice address
211 Nautica Mile Dr Clermont FL 34711-2474
Fax: (407) 295-5808
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SA7063 Florida

Profile Details

NPI number 1407813363
LBN Legal business name Dougherty, Kim A.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 26th, 2006
Last updated Mar 13th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407813363 NPPES
Florida MEDICAID 889799900

Popular Providers