MIRA DAUGHERTY

DANVILLE, KY
NPI1992207088
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: KY  3012025)
Enumeration Date2018-03-05
Last Update Date2021-11-11
Business Address
MIRA DAUGHERTY APRN
430 W MAIN ST
DANVILLE, KY 40422-1888
Phone number: 502-219-3488
Mailing Address
MIRA DAUGHERTY APRN
307 DALLAS DR
HUSTONVILLE, KY 40437-8304
Phone number: 606-669-0537
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