Individual
KIMATHI W DOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
210 E GRAY ST STE 1105, LOUISVILLE, KY 40202-3907
(502) 583-1697
(502) 583-2120
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
42821
KY
207T00000X
Neurological Surgery Physician
TP515
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000611809
ANTHEM - NNIKY
KY
01
—
000000642015
ANTHEM - NNIKY
KY
01
—
000081728P
HUMANA - NNIKY
KY
01
—
104051
SIHO - NNIKY
KY
05
—
200952290
—
IN
01
—
3709853000
PASSPORT ADVTG - NNIKY
KY
01
—
50023573
PASSPORT - NNIKY
KY
05
—
7100074880
—
KY
01
—
7272224
CIGNA - NNIKY
KY
01
—
P00720667
RAILROAD MEDICARE KY - NNIKY
KY
Enumeration date
03/26/2007
Last updated
10/14/2016
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