Individual
MICHAEL EDWARD DAUGHERTY
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2925 FOUR PINES DR, LEXINGTON, KY 40502-2971
(859) 266-1862
Mailing address
2925 FOUR PINES DR, LEXINGTON, KY 40502-2971
(859) 266-1862
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14441
KY
Other
Enumeration date
06/03/2006
Last updated
07/08/2007
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