Kelly Jill Dougherty, MD is a student in an organized health care education training program in Saint Louis, MO. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Kelly Jill Dougherty, MD NPI is 1376282764. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
615 S NEW BALLAS RD
SAINT LOUIS, MO
ZIP 63141-221
Phone: (314) 251-6930
The enumeration date for this NPI number is 6/2/2022 and was last updated on 6/2/2022.