Individual provider · Type 1 NPI

Kierstin Rene Daugherty, PA-C

Surgical Physician Assistant · North Little Rock, AR

NPI number 1356937593 Active

Practice location

5220 Northshore Dr
North Little Rock, AR 72118-5297

Call (501) 663-6455 Map

Fax (501) 663-4877

Other practice locations

  • 4300 Landers Rd, North Little Rock, AR 72117-2525 · (501) 771-1600
  • 3127 W 2nd Ct Ste B, Russellville, AR 72801-4566 · (501) 663-6455

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA14101

Surgical Physician Assistant: Definition to come...

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About NPI 1356937593

Kierstin Rene Daugherty, PA-C's National Provider Identifier is 1356937593, issued on Dec 11, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in North Little Rock, AR. The record was last updated on Apr 1, 2025.