Individual
ELIZABETH M DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
115 HUSTON DR, SHEPHERDSVILLE, KY 40165-7250
(502) 955-7311
(502) 955-9694
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5100
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
39199
KY
208000000X
Pediatrics Physician
39199
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350686
ANTHEM / NMA
—
01
—
00052154S
HUMANA / NMA
—
01
—
047016
SIHO / NMA
—
01
—
1220479
CHA / NMA
—
01
—
2447843000
PASSPORT ADVANTAGE / NMA
—
01
—
50006616
PASSPORT / NMA
—
05
—
64067697
—
KY
01
—
7005649
CIGNA / NMA
—
01
—
P00210412
RAILROAD MEDICARE
KY
Enumeration date
04/20/2006
Last updated
10/04/2017
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