Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kellie Jo Dougherty

Individual provider Registered Nurse · NPI 1679136477

Kellie Jo Dougherty is a Registered Nurse in Neenah, Wisconsin. Licensed in California and Wisconsin. Registered with an NPI since 2019.

Licensed in
CA, WI
In the registry since
2019
Specialties on file
2

Practice location Address checks out

146 N Western Ave Unit G
Neenah, WI 54956-2297
Phone: (920) 410-9605
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 174687 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 95133947 (CA)

Record details

NPI number1679136477
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 17, 2019
Last updated in NPPESApril 17, 2019
Mailing address146 N Western Ave Unit G, Neenah, WI 54956-2297

Other providers in Neenah