Kathleen Mary Dougherty
Kathleen Mary Dougherty is a Physician Assistant in Carmel, Indiana. Qualified in 2025, 1 year ago. Practices as a sole proprietor.
- Years since qualifying
- 1
- In the registry since
- 2023
Practice location Address checks out
1608 Cool Creek DrCarmel, IN 46033-2321
Phone: (317) 696-1099
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1013621382 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 10, 2023 |
| Last updated in NPPES | January 10, 2023 |
| Certification date | January 10, 2023 |
| Mailing address | 1608 Cool Creek Dr, Carmel, IN 46033-2321 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
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