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Contact Information

KELLI A DAUGHERTY, CNM, APRN
544 W PERSHING RD STE A
DECATUR, IL62526
 Phone: 217-872-2400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for KELLI A DAUGHERTY · (Female)

NPI # 1619400447
Status Active
Credentials CNM, APRN
Entity Individual
Enumeration date 04/08/2017
Last updated 04/07/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • FL License # APRN11042241
  • IL License # 209.015343
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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