Individual
DR. MARIA CONSUELO CAPILI DOMINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
(606) 834-0128
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-4000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.129120
OH
207R00000X
Internal Medicine Physician
Primary
42820
KY
207R00000X
Internal Medicine Physician
43081087595
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2995148
—
OH
05
—
3810015724
—
WV
05
—
7100086420
—
KY
01
—
P01094251
RR MEDICARE
KY
Enumeration date
05/23/2007
Last updated
05/18/2022
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