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Individual

DR. DONALD R. DOUGLAS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2537 LARKIN RD, LEXINGTON, KY 40503-3201
(270) 554-5114
(270) 215-4834
Mailing address
733 CHINKAPIN DRIVE, STE 2, NICHOLASVILLE, KY 40356
(859) 223-0721

Taxonomy

Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
26259
KY
208100000X
Physical Medicine & Rehabilitation Physician
Primary
26259
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000108104
ANTHEM PIN
KY
01
164291501
U. S. DOL
01
2000319
UNITED HEALTHCARE
KY
01
611369666
HUMANA PIN
KY
05
64262595
KY
01
F14766
BLUEGRASS FAMILY HEALTH
KY
Enumeration date
09/13/2006
Last updated
06/09/2020
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