Individual
DR. KIMBERLY KAYE DAUGHERTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
21 MICHIGAN ST NE STE 425, GRAND RAPIDS, MI 49503-2530
(616) 391-2728
(616) 391-3783
Mailing address
2301 ROSEWOOD AVE SE, GRAND RAPIDS, MI 49506-5268
(616) 452-6773
(616) 391-3783
Taxonomy
Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
011988
KY
1835P1200X
Pharmacotherapy Pharmacist
Primary
5302034354
MI
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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