Individual
DOUGLAS G IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
94 MARIE LANGDON DR, SUITE 2, MANCHESTER, KY 40962-6353
(606) 599-9955
(606) 599-9966
Mailing address
509 MEMORIAL DRIVE, SUITE 2, MANCHESTER, KY 40962-6195
(606) 598-5104
(606) 598-0983
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
38637
KY
207Q00000X
Family Medicine Physician
Primary
38637
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64081466
—
KY
Enumeration date
05/26/2006
Last updated
05/27/2015
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