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KELLY DAUGHERTY, PA-C

PA-C

Physician Assistant

NPI: 1548635014IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician Assistant

Code: 363A00000X

12173(MN)

Physician Assistant — Surgical

Code: 363AS0400X

PAC0622(ND)

CMS Specialties

Education

OTHER

Class of 2015

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Contact & Hours

Address
700 1ST AVE S
FARGO, ND 58103

Quick Facts

NPI
1548635014
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
3
Locations
3
Years in Practice
11

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