Daugherty, Kelsey Lynn

Daugherty, Kelsey Lynn is an individual health care provider with primary practice located at 7636 S 78Th St , Lincoln NE 68516-4023. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Daugherty, Kelsey Lynn can be contacted via phone (816) 666-4201.

Contact Information

Primary practice address
7636 S 78Th St Lincoln NE 68516-4023
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 53-76665-061 Kansas
Nursing Service Providers / Registered Nurse 163W00000X 13-119579-061 Kansas

Profile Details

NPI number 1245629815
LBN Legal business name Daugherty, Kelsey Lynn
Credentials DNP, RN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2015
Last updated Jan 6th, 2022 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245629815 NPPES
Kansas MEDICAID 201243690A

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