Individual
KELSEY LYNN DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, PMHNP-BC
Contact information
Practice address
7636 S 78TH ST, LINCOLN, NE 68516-4023
(816) 666-4201
Mailing address
7636 S 78TH ST, LINCOLN, NE 68516-4023
(816) 666-4201
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
13-119579-061
KS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
53-76665-061
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201243690A
—
KS
Enumeration date
01/20/2015
Last updated
01/06/2022
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