# KELSEY LYNN DAUGHERTY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245629815
- **Gender:** F
- **Credential:** DNP, RN, PMHNP-BC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163W00000X | Registered Nurse | 13-119579-061 | KS | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 53-76665-061 | KS | Yes |

## Other

- **Enumeration date:** 01/20/2015
- **Last updated:** 01/06/2022