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Individual

KELLI ANN DAUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, APRN

Contact information

Practice address
544 W PERSHING RD STE A, DECATUR, IL 62526
(217) 872-2400
Mailing address
544 W PERSHING RD STE A, DECATUR, IL 62526-3226
(217) 872-2400

Taxonomy

Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
209.015343
IL
367A00000X
Advanced Practice Midwife
APRN11042241
FL

Other

Enumeration date
04/08/2017
Last updated
04/07/2026
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