KIERSTIN R DAUGHERTY, PA-C, Surgical NORTH LITTLE ROCK, AR

Contact Information

KIERSTIN R DAUGHERTY, PA-C

5220 NORTHSHORE DR
NORTH LITTLE ROCK, AR 72118-5297

Phone: 501-663-6455
Fax: 501-663-4877
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for KIERSTIN R DAUGHERTY · (Female)

NPI Number	`1356937593`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	12/11/2020
Last updated	04/01/2025 - More than a year ago
Sole proprietor ¹	No
Identifiers	License # PA14101 AR Medicaid 284103795
Hospital affiliation(s)	ARKANSAS SURGICAL HOSPITAL - (Acute Care) 5201 NORTH SHORE DRIVE NO LITTLE ROCK, AR 72118 GOOD SHEPHERD MEDICAL CENTER MARSHALL - (Acute Care) 811 S WASHINGTON MARSHALL, TX 75670 LONGVIEW REGIONAL MEDICAL CENTER - (Acute Care) 2901 N FOURTH ST LONGVIEW, TX 75605

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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KIERSTIN R DAUGHERTY, PA-C – NPI #1356937593Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for KIERSTIN R DAUGHERTY · (Female)

Reviews for KIERSTIN R DAUGHERTY

KIERSTIN R DAUGHERTY, PA-C – NPI #1356937593
Surgical