Individual
DR. KYLE BENJAMIN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3618
Mailing address
PO BOX 18667, ERLANGER, KY 41018-0667
(513) 312-2247
(859) 572-2326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01085205A
IN
207P00000X
Emergency Medicine Physician
Primary
54157
KY
Other
Enumeration date
03/25/2018
Last updated
10/26/2023
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