DR. Kurt W. Dougherty, OD

NPI #1295727519 in Fort Wayne, Indiana

Provider Information

NPI Number: 1295727519
Entity Type: Individual
Name: DR. Kurt W. Dougherty, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Aug 23, 2005
Last Updated: Jun 18, 2008

Practice Location

Address: 3401 LAKE AVE
City: Fort Wayne
State: Indiana
ZIP Code: 46805-5500
Phone: (260) 422-6396

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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