DIANE L DOUGHERTY

LOUISVILLE, KY
NPI1770534620
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3002140)
Enumeration Date2006-05-15
Last Update Date2011-04-08
Business Address
-- DIANE L DOUGHERTY ARNP
215 CENTRAL AVE STE 110
LOUISVILLE, KY 40208-1449
Phone number: 502-852-6479
Mailing Address
-- DIANE L DOUGHERTY ARNP
501 E BROADWAY SUITE 290
LOUISVILLE, KY 40202-1785
Phone number: 502-217-8221