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

Kelly Eli Daugherty, PA-C

Individual provider Physician Assistant · NPI 1548635014

Kelly Eli Daugherty, PA-C is a Physician Assistant in Owatonna, Minnesota. Qualified in 2015, 11 years ago. Practices with Fairview Express Care, a 1,964-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Minnesota and North Dakota.

Years since qualifying
11
Licensed in
MN, ND
In the registry since
2015
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

2200 NW 26th St
Owatonna, MN 55060-5503
Phone: (507) 451-1120
Show map & directions

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

Additional practice locations (2)

  • 200 1st St Sw, Rochester, MN 55905-0001 — (507) 284-2511
  • 700 1st Ave S, Fargo, ND 58103-1802 — (701) 234-4023

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 12173 (MN)
Physician Assistant Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PAC0622 (ND)

Record details

NPI number1548635014
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 9, 2015
Last updated in NPPESFebruary 9, 2024
Certification dateFebruary 9, 2024
Mailing address2200 Nw 26th St, Owatonna, MN 55060-5503

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Fairview Express Care — 1964 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Owatonna