Kimberly Daugherty, LPN is a
Licensed Practical Nurse based in Vienna, West Virginia. Kimberly Daugherty is licensed to practice in West Virginia (license number 18897) and her current practice location is
2200 Grand Central Ave Ste 101, Vienna, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 428-2554.
NPI number for Kimberly Daugherty is 1205529575 and her current mailing address is 2200 Grand Central Ave, Vienna, West Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205529575.
Provider's Profile
Full Name | Kimberly Daugherty |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 2200 Grand Central Ave Ste 101, Vienna, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1205529575
- Provider Enumeration Date: 06/01/2023
- Last Update Date: 06/01/2023
Medical Identifiers
Medical identifiers for Kimberly Daugherty such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205529575 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 18897 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Daugherty is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Daugherty, LPN 2200 Grand Central Ave, Vienna, WV 26105-1300 Ph: () - | Kimberly Daugherty, LPN 2200 Grand Central Ave Ste 101, Vienna, WV 26105-1300 Ph: (304) 428-2554 |
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