Individual
DOUGLAS W KIRTLEY
Active
Individual
DOUGLAS W KIRTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101042557
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006097626
—
VA
01
—
100009139
MC RAILROAD
—
05
—
1235117904
—
VA
01
—
260854
ANTHEM
—
Enumeration date
01/04/2006
Last updated
09/21/2016
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