npidexNPI registry + Medicare data

KRISTINE DAUGHERTY, PA-C

Physician Assistant · CANOGA PARK, CA

Individual Active NPI 1538583463

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Physician Assistant363A00000X✓3870CO
Physician Assistant363A00000X53247CA
Physician Assistant363A00000X021203-1NY
Physician Assistant363A00000X6753AZ
Physician Assistant363A00000X085006234IL
Physician Assistant363A00000XPA12195TX
Physician Assistant363A00000X0110-006177VA

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Physician Assistant providers in California

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.