Dougherty, Jenna

Dougherty, Jenna is an sole proprietor health care provider with primary practice located at 1202 W Maple St , Wichita KS 67213-3916. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Dougherty, Jenna can be contacted via phone (316) 262-3716.

Contact Information

Primary practice address
1202 W Maple St Wichita KS 67213-3916
Phone: (316) 262-3716
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2218 Kansas

Profile Details

NPI number 1700614674
LBN Legal business name Dougherty, Jenna
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 23rd, 2024
Last updated Jul 23rd, 2024 - about 2 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.

Request for update

Popular Providers