Individual
DR. DANA LYNN DOUGHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6400 DUTCHMANS PKWY, STE.300, LOUISVILLE, KY 40205-3340
(502) 894-2444
(502) 894-2445
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 558-9529
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35-082494
OH
207Q00000X
Family Medicine Physician
Primary
46382
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2422453
—
OH
05
—
300055119
—
IN
05
—
7100249280
—
KY
Enumeration date
07/27/2006
Last updated
09/30/2025
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