Individual
KERISSA M DAUGHENBAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
234 W PORTER STREET, MORGANTOWN, KY 42261
(270) 526-9652
Mailing address
234 W PORTER STREET, MORGANTOWN, KY 42261
(270) 526-9652
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011386
KY
Other
Enumeration date
06/14/2017
Last updated
08/22/2023
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