Individual
KIERRA DOUGLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1946 W US HIGHWAY 40, GREENCASTLE, IN 46135-8706
(765) 653-8441
Mailing address
1942 COBBLESTONE WAY S, TERRE HAUTE, IN 47802-5411
(765) 653-8441
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
71017623A
IN
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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