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

Shane Anthony Daugherty

Individual provider Case Manager/Care Coordinator · NPI 1790646008

Shane Anthony Daugherty is a Case Manager/Care Coordinator in Little Rock, Arkansas. Licensed in Arkansas. Registered with an NPI since 2025.

Licensed in
AR
In the registry since
2025

Practice location Address checks out

712 W 3rd St
Little Rock, AR 72201-2220
Phone: (501) 379-4246
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (AR)

Record details

NPI number1790646008
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 18, 2025
Last updated in NPPESNovember 18, 2025
Certification dateNovember 18, 2025

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