# TONY W DOTSON, DO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255564076
- **Authorized official:** TONY W DOTSON DO (PRESIDENT)
- **Authorized official phone:** (606) 325-6888

## Contact information

- **Practice address:** 617 23RD ST STE 415, ASHLAND, KY 41101
- **Practice address phone:** (606) 325-6888
- **Practice address fax:** (606) 326-9368
- **Mailing address:** 617 23RD ST STE 415, ASHLAND, KY 41101-2882
- **Mailing address phone:** (606) 325-6888
- **Mailing address fax:** (606) 326-9368

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 02552 | KY | Yes |

## Other

- **Enumeration date:** 08/27/2009
- **Last updated:** 08/27/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0974603 | MEDICARE ID-TYPE UNSPECIFIED | KY |
| 05 | — | 64035538 | — | KY |