Daugherty, Alissa K
Daugherty, Alissa K is an individual health care provider with primary practice located at 4044 Fort Campbell Blvd Pmb# 124, Hopkinsville KY 42240-4950. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Daugherty, Alissa K can be contacted via phone (270) 839-2298.Contact Information
Primary practice address
4044 Fort Campbell Blvd Pmb# 124
Hopkinsville KY 42240-4950
Phone: (270) 839-2298
Fax: (999) 999-9999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 47177 | Kentucky |
Profile Details
| NPI number | 1912268038 |
|---|---|
| LBN Legal business name | Daugherty, Alissa K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2012 |
| Last updated | Dec 19th, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912268038 | NPPES |
| Kentucky | MEDICAID | 7100253410 |
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