Search › Pennsylvania › 133V00000X
Mickenzie Dougherty, MS, RD, LDN
NPI 1558012971 · on the registry since 2022 · sole proprietor
Practice
- Address
- 49 Kirk Ln
Media, PA 19063 - Phone
- (800) 736-3739
Registry record
- Primary taxonomy
- 133V00000X
133V00000X
- Sex
- Female
- Record last updated
- 2025-08-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania