IndividualActive
Kierstin Daugherty, PA-C
NPI 1356937593 · Surgical Physician Assistant · North Little Rock, AR
Provider details
- NPI number
- 1356937593
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA14101
Practice location
5220 Northshore Dr
North Little Rock, AR 72118-5297
Phone: (501) 663-6455
Fax: (501) 663-4877
Mailing address
5220 Northshore Dr
North Little Rock, AR 72118-5297
Registry dates
- Enumerated
- 2020-12-11
- Last updated
- 2025-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.