Individual
DR. NATHAN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2301 HOLMES ST, KANSAS CITY, MO 64108-2640
(816) 404-4175
Mailing address
612 GARFIELD AVE APT 1012, KANSAS CITY, MO 64124-2289
(913) 832-0486
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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