Individual
KAYCE DANIELLE DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
320 THOMAS MORE PKWY STE 202, CRESTVIEW HILLS, KY 41017-3456
(859) 331-0432
(859) 331-0956
Mailing address
PO BOX 21890, BELFAST, ME 04915-4115
(502) 907-0356
(502) 919-9780
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017936
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009616
—
OH
05
—
300070854
—
IN
05
—
7100855410
—
KY
Enumeration date
06/16/2022
Last updated
02/13/2024
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