Individual
DR. KIRK M DOERGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-2160
(859) 301-3932
Mailing address
PO BOX 932163, CLEVELAND, OH 44193-2501
(586) 412-4365
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
39198
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2699245
—
OH
05
—
64106883
—
KY
01
—
P00230222
RRMC
—
Enumeration date
11/28/2005
Last updated
08/07/2013
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