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KIMBERLY DAUGHERTY LPN
NPI 1205529575
Licensed Practical Nurse in Vienna, WV

Active since June 01, 2023
2200 GRAND CENTRAL AVE STE 101, VIENNA, WV 26105(304) 428-2554 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kimberly Daugherty Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY DAUGHERTY LPN (NPI 1205529575) is an individual licensed practical nurse in Vienna, West Virginia, licensed in West Virginia (18897) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1205529575
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKIMBERLY DAUGHERTYCredential: LPN
Location Address2200 GRAND CENTRAL AVE STE 101Vienna, WV 26105-1300
Mailing Address2200 Grand Central AveVienna, WV 26105-1300
Phone(304) 428-2554
Sole ProprietorNo
Enumeration DateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1205529575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in WV · 18897
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
2200 GRAND CENTRAL AVE STE 101, Vienna, WV 26105
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE ANN CALTRIDER
Registered Nurse (Home Health)
2200 GRAND CENTRAL AVE STE 101
VIENNA, WV 26105
Wood County (304) 428-2554
ALICIA DURANTI RN
Registered Nurse (Home Health)
2200 GRAND CENTRAL AVE STE 101
VIENNA, WV 26105
Wood County (304) 428-2554
ANN SPADE
Registered Nurse (Home Health)
2200 GRAND CENTRAL AVE STE 101
VIENNA, WV 26105
Wood County (304) 428-2554
MELISSA DAWN GALLOWAY
Physical Therapy Assistant
2200 GRAND CENTRAL AVE STE 101
VIENNA, WV 26105
Wood County (304) 428-2554
AMY L RAKE RN
Registered Nurse (Home Health)
2200 GRAND CENTRAL AVE STE 101
VIENNA, WV 26105
Wood County (304) 428-2554

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Daugherty's NPI number?

The NPI number for Kimberly Daugherty is 1205529575. It was assigned to this individual provider in the NPPES registry on June 1, 2023.

Where is Kimberly Daugherty located?

Kimberly Daugherty practices at 2200 Grand Central Ave Ste 101, Vienna, WV 26105. The listed phone number is (304) 428-2554.

What is Kimberly Daugherty's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Daugherty was last updated on June 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.