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Individual

SARAH MILLER DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
4071 TATES CREEK CENTRE DR STE 202, LEXINGTON, KY 40517-3094
(859) 226-0206
(859) 226-0207
Mailing address
4071 TATES CREEK CENTRE DR STE 202, LEXINGTON, KY 40517-3094
(859) 226-0206
(859) 226-0207

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1818
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100257670
KY
Enumeration date
07/25/2013
Last updated
10/11/2019
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