Individual
KELSEY DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5319 MOUNT VIEW RD, ANTIOCH, TN 37013-7303
(615) 731-8119
Mailing address
419 PEAK TOP TRAIL, LAVERGNE, TN 37086
Taxonomy
Speciality
Code
Description
License number
State
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
39135
TN
Other
Enumeration date
01/15/2020
Last updated
05/15/2026
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