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Individual

DR. JOSEPH F DAUGHERTY III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
806 SCOTT ST, COVINGTON, KY 41011-2420
(859) 371-2600
(859) 372-5923
Mailing address
806 SCOTT ST, COVINGTON, KY 41011-2420
(859) 371-2600
(859) 372-5923

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
22022
KY
207R00000X
Internal Medicine Physician
35039319D
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000005541
ANTHEM
05
0327159
OH
01
0420801
UNITED HEALTH CARE
01
310794775
GREAT WEST
01
310794775029
AETNA
01
310794775A
HUMANA
05
64786122
KY
Enumeration date
08/29/2006
Last updated
04/05/2016
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