Individual
KIERRA DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2723 S 7TH ST STE A, TERRE HAUTE, IN 47802-3558
(812) 232-8164
Mailing address
1942 COBBLESTONE WAY S, TERRE HAUTE, IN 47802-5411
(812) 232-8164
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
71017623A
IN
363L00000X
Nurse Practitioner
Primary
71017623A
IN
Other
Enumeration date
01/27/2026
Last updated
06/26/2026
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