Individual
KEY DOUTHITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
750 MORTON BLVD, HAZARD, KY 41701-9469
(606) 439-1559
(606) 436-6988
Mailing address
750 MORTON BLVD, HAZARD, KY 41701-9469
(606) 439-1559
(606) 436-6988
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TP365
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100142130
—
KY
Enumeration date
07/11/2008
Last updated
11/21/2016
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