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Individual
MR. DAVID KEVIN DOUGLASS
Active
Individual
MR. DAVID KEVIN DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9433012
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3649094
—
TN
01
—
4092979
BLUE CROSS
TN
01
—
P00308336
RAILROAD MEDICARE
TN
Enumeration date
06/08/2006
Last updated
11/12/2020
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