Individual
DR. PETER JAMES DOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
323 8TH ST, HENDERSON, KY 42420-2927
(270) 827-2548
(270) 827-4557
Mailing address
323 8TH ST, HENDERSON, KY 42420-2927
(270) 827-2548
(270) 827-4557
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
00183
KY
213E00000X
Podiatrist
07000639A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000039574
BCBS
KY
01
—
1118554
PASSPORT
—
01
—
1191087
CHA
—
05
—
200088150A
—
IN
01
—
480032960
RAILROAD MEDICARE
—
05
—
80001837
—
KY
Enumeration date
08/12/2006
Last updated
07/21/2022
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