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Individual

DR. KATHERINE DOTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9980 ANGIES WAY, SUITE 420, LOUISVILLE, KY 40241-2850
(502) 629-5400
(502) 629-5492
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35461
SC
207R00000X
Internal Medicine Physician
Primary
45198
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000888765
ANTHEM-NCMA
KY
01
165894
SIHO-NCMA
KY
01
50075354
PASSPORT-NCMA
KY
05
7100210400
KY
Enumeration date
05/19/2009
Last updated
10/11/2021
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