Individual
KELLY ELI DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Mailing address
2200 NW 26TH ST, OWATONNA, MN 55060-5503
(507) 451-1120
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12173
MN
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
PAC0622
ND
Other
Enumeration date
12/09/2015
Last updated
02/09/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us