Individual
KHAY DOUANGDARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, DNP
Contact information
Practice address
1000 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 323-9057
(859) 323-9502
Mailing address
1000 S LIMESTONE, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3018479
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3018479
KY
363LF0000X
Family Nurse Practitioner
3018479
KY
Other
Enumeration date
03/13/2025
Last updated
07/15/2025
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