Individual
MR. KYLE RICHARD DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
229 SALUDA SPRINGS RD, LEXINGTON, SC 29072-6667
(803) 359-0505
(803) 359-2206
Mailing address
141 ATRIUM WAY, COLUMBIA, SC 29223-6301
(803) 359-0505
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10527
SC
225100000X
Physical Therapist
26779
MD
Other
Enumeration date
11/09/2017
Last updated
04/20/2023
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