Individual
DAMIAN FRANCIS DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 N GRAND AVE, FORT THOMAS, KY 41075-1793
(859) 572-3232
(859) 572-3727
Mailing address
20 MEDICAL VILLAGE DR, SUITE 258, EDGEWOOD, KY 41017-5401
(859) 341-7246
(859) 341-7867
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
38010
KY
207L00000X
Anesthesiology Physician
35060078D
OH
207L00000X
Anesthesiology Physician
Primary
38010
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000542722
ANTHEM
—
01
—
00000077646
ANTHEM BLUE SHIELD
—
05
—
0790934
—
OH
05
—
200366080
—
IN
01
—
50019772
PASSPORT HEALTH
—
05
—
64037930
—
KY
Enumeration date
11/16/2005
Last updated
05/12/2010
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