Organization
KENTUCKY MEDICAL REHAB CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARRYL LEE DOCHTERMAN MD (RADIOLOGIST/GENERAL PRACTICE)
(859) 576-8637
Entity
Organization
Contact information
Practice address
305 STONEGATE, NICHOLASVILLE, KY 40356
(859) 885-1941
Mailing address
208 STONE AVE, LEXINGTON, KY 40508-2644
(859) 309-1908
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
15283
KY
Other
Enumeration date
05/27/2008
Last updated
02/09/2011
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