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Individual

AUDREY ANN DOUGHERTY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
200 S MAIN ST, RUSSELL, KS 67665-2920
(785) 483-3333
(785) 483-7631
Mailing address
1306 LAWRENCE DR, HAYS, KS 67601-2627
(785) 656-0301

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
144116
KS
363LF0000X
Family Nurse Practitioner
Primary
5383369051
KS

Other

Enumeration date
08/09/2022
Last updated
08/12/2024
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