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Contact Information

KEVIN S DOUGHERTY, DO
707 SHERIDAN AVE
CODY, WY82414
 Phone: 307-578-2000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for KEVIN S DOUGHERTY · (Male)

NPI # 1922412279
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 06/15/2014
Last updated 06/28/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MI License # 5101021230
  • WI License # 68949-21
  • WY License # 14756A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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