John J Dougherty in Kansas City - Sports Medicine

John J Dougherty - NPI 1942238027

John J Dougherty is a Sports Medicine in Kansas City, Missouri. John J Dougherty practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for John J Dougherty is 1942238027. The last update date is 2010-09-07.

John J Dougherty's current location address is 1010 Carondelet Dr Ste 220, Kansas City, Missouri. You can contact this provider via phone number 8169411600 and fax number 8169411699. The mailing address for John J Dougherty is 1010 Carondelet Dr Ste 220, Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name John J Dougherty
Address 1010 Carondelet Dr Ste 220, Kansas City, Missouri
Phone Number 8169411600
Fax Number 8169411699
Sole Proprietor N
Credentials DO

NPI Number Detail

NPI Number 1942238027
Provider Enumeration Date 2006-06-29
Last Updated Date 2010-09-07

Provider Mailing Address Detail

Address 1010 Carondelet Dr Ste 220
City Kansas City
State Missouri (MO)
Post Code 641144822
Phone Number 8169411600
Fax Number 8169411699

Provider's Primary Taxonomy Detail

Speciality Sports Medicine
Taxonomy 207Qs0010X
Licence No 104398
Definition:
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
247956733 MO --

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FAQs about John J Dougherty

What is the unique 10-digit identification code issued to John J Dougherty by the Centers for Medicare & Medicaid Services?

The John J Dougherty has been assigned the NPI (National Provider Identifier) 1942238027 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete physical location address of John J Dougherty?

The John J Dougherty is physically situated at 1010 Carondelet Dr Ste 220, in the city of Kansas City, state of MO, with the postal code 641144822.

What is John J Dougherty's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for John J Dougherty is Sports Medicine, and the taxonomy code that categorizes this field of expertise is 207Qs0010X.

On what date did the John J Dougherty receive the assignment of its 1942238027 from the Centers for Medicare & Medicaid Services?

The John J Dougherty was issued its 1942238027 by the Centers for Medicare & Medicaid Services on 2006-06-29.

As of what date were the details pertaining to John J Dougherty last refreshed?

The information related to the John J Dougherty, including its address, specialty, and other relevant details, was last updated on 2010-09-07.

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