Individual
JONATHAN MICHAEL DOTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1250 BEN ALI DR, DANVILLE, KY 40422-8937
(859) 236-0903
(859) 236-7382
Mailing address
1250 BEN ALI DR, DANVILLE, KY 40422-8937
(859) 236-0903
(859) 236-7382
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
35994
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000378386
ANTHEM
KY
05
—
64038987
—
KY
Enumeration date
03/27/2006
Last updated
03/16/2021
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