Search › Wyoming › 207P00000X
Kevin Dougherty, D.O
NPI 1922412279 · on the registry since 2014
Practice
- Address
- 707 Sheridan Ave
Cody, WY 82414 - Phone
- (307) 578-2000
- Organisation at this address
- Kaydee
West Park Hospital
West Park Hospital
Spirit Mountain Hospice
Cody Regional Health EmsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 56
Additional practice sites
- 1726 Shawano Ave, Green Bay, WI
- 835 S Van Buren St, Green Bay, WI
Registry record
- Primary taxonomy
- 207P00000X
207P00000X
- Also registered as
- 207P00000X
207P00000X - Licence states on file
- WI, MI, WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-06-28
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 Wyoming