Individual
DR. KEVIN S. DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414
(307) 578-2000
Mailing address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 578-2000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
14756A
WY
207P00000X
Emergency Medicine Physician
5101021230
MI
207P00000X
Emergency Medicine Physician
68949-21
WI
Other
Enumeration date
06/15/2014
Last updated
06/28/2024
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