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

Individual provider Emergency Medicine Physician · NPI 1336709096

Kelly Alice Drivdahl Dougherty, MD is an Emergency Medicine Physician in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2019.

Licensed in
PA
In the registry since
2019
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3401 N Broad St
Philadelphia, PA 19140-5189
Phone: (215) 707-5435
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MT218870 (PA)

Record details

NPI number1336709096
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 15, 2019
Last updated in NPPESMay 1, 2023
Certification dateMay 1, 2023

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