Individual provider · Type 1 NPI
Kellie Jo Dougherty
Registered Nurse · Neenah, WI
Practice location
146 N Western Ave Unit G
Neenah, WI 54956-2297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95133947 (CA) |
| Registered Nurse Primary | 163W00000X | 174687 (WI) |
Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…
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About NPI 1679136477
Kellie Jo Dougherty's National Provider Identifier is 1679136477, issued on Apr 17, 2019. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Neenah, WI. The record was last updated on Apr 17, 2019.