Individual
MRS. TERRI SUSAN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
209 PAULINE DR, BEREA, KY 40403-8889
(859) 986-1259
Mailing address
5237 BRINDLE RIDGE RD, BRODHEAD, KY 40409-8452
(859) 986-1259
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
1035141
KY
Other
Enumeration date
04/19/2010
Last updated
04/19/2010
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