Individual
ANNE L. DOUGLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
803 MEYERS BAKER RD, STE 200, LONDON, KY 40741-3039
(606) 878-3240
(606) 878-4308
Mailing address
803 MEYERS BAKER RD, STE 200, LONDON, KY 40741-3039
(606) 878-3240
(606) 878-4308
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25731
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64257314
—
KY
Enumeration date
06/20/2006
Last updated
07/08/2007
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