Individual
DENNIS EDWIN DOHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
740 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-5116
Mailing address
138 LEADER AVE, LEXINGTON, KY 40508-3215
(859) 257-7910
(859) 257-7899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
32826
KY
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
32826
KY
207RP1001X
Pulmonary Disease Physician
Primary
32826
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64328263
—
KY
Enumeration date
08/02/2006
Last updated
03/30/2012
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