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KRISTEN DOUGHERTY
NPI 1235690009
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 26, 2019
1402 S GRAND BLVD RM M260, SAINT LOUIS, MO 63104(314) 577-8317(314) 268-5466 Get Directions Write a Review

NPPES record last updated: March 26, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kristen Dougherty NPPES

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

KRISTEN DOUGHERTY (NPI 1235690009) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1235690009
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKRISTEN DOUGHERTY
Location Address1402 S GRAND BLVD RM M260Saint Louis, MO 63104-1004
Mailing Address1402 S Grand Blvd Rm M260Saint Louis, MO 63104-1004 · (314) 577-8317 · Fax (314) 268-5466
Phone(314) 577-8317
Fax(314) 268-5466
Sole ProprietorNo
Enumeration DateMarch 26, 2019
✔ NPI 1235690009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
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.
1402 S GRAND BLVD RM M260, Saint Louis, MO 63104
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Other Providers at the Same Location NPPES 20

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

HOURI ESMAEIL KHANIAN MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2408
DR. ROBERTO ESTEBAN BUSTOS MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 577-8317
STEPHEN CHRISTOPHER REAM
Pediatrics (Pediatric Cardiology)
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2359
ROXANNA HAMIDPOUR MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (913) 486-1596
STEPHEN COLE NAPIER DO
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2359
THOMAS YU XIA
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9853
DR. NICOLAS KATKHORDEH MAYNARD MD
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 617-2359
MILES CHARLES
Student in an Organized Health Care Education/Training Program
1402 S GRAND BLVD RM M260
SAINT LOUIS, MO 63104
St. Louis City (314) 977-9851

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 Kristen Dougherty's NPI number?

The NPI number for Kristen Dougherty is 1235690009. It was assigned to this individual provider in the NPPES registry on March 26, 2019.

Where is Kristen Dougherty located?

Kristen Dougherty practices at 1402 S Grand Blvd Rm M260, Saint Louis, MO 63104. The listed phone number is (314) 577-8317.

What is Kristen Dougherty's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kristen Dougherty was last updated on March 26, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.