Physician Assistant
KELLY DAUGHERTY PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1548635014 · enumerated 2015-12-09 · record updated 2024-02-09. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Other names: KELLY WIDIGER
Addresses and phones
- Practice location 2200 NW 26TH ST, OWATONNA, MN, 55060-5503 (507) 451-1120 Google Maps Apple Maps OpenStreetMap
- Mailing address 2200 NW 26TH ST, OWATONNA, MN, 55060-5503 (507) 451-1120 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X
- Physician Assistant, Surgical 363AS0400X · License PAC0622 ND
- Physician Assistant 363A00000X · Primary · License 12173 MN
In this directory
Locations and evidence
-
Practice location
OWATONNA, MN, 550605503
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.