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Contact Information

KEVIN DAUGHERTY, OD
1307 STATE HWY K
O'FALLON, MO63366
 Phone: 636-980-2721
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for KEVIN DAUGHERTY · (Male)

NPI Number 1548150360
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 07/03/2025
Last updated 07/03/2025 - About 11 months ago
Sole proprietor 1 No
Identifiers
  • MO License # 2025023537
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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