Individual
KYRA ARIEL DAUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
470 W 78TH ST STE 100, CHANHASSEN, MN 55317-4525
(952) 934-1772
(952) 934-3114
Mailing address
470 W 78TH ST STE 100, CHANHASSEN, MN 55317-4525
(952) 934-1772
(952) 934-3114
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6460
MN
Other
Enumeration date
01/12/2018
Last updated
01/12/2018
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