Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN DOUGHERTY
Active Sole ProprietorKATHLEEN DOUGHERTY is a Nurse Anesthetist, Certified healthcare provider located in JACKSONVILLE BEACH, Florida. NPI 1508511080 is currently active in the NPPES registry. Verify at CMS.
Nurse Anesthetist, Certified · JACKSONVILLE BEACH, FL
Registration Details
- NPI Number
- 1508511080
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 14, 2022 (4.5396903611254 yrs)
- Last Updated
- Feb 14, 2022
- License
-
RN9183201 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1597 THE GREENS WAYJACKSONVILLE BEACH, FL, 322501401Browse FL providers · Browse ZIP 32250
- Phone
- 9044259648
- Primary Specialty
-
Nurse Anesthetist, Certified
163WA0400X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.