Individual
KATHLEEN M DOISY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3217 S PROVIDENCE RD, COLUMBIA, MO 65203-3639
(573) 882-4730
(573) 884-5226
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
106074
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
114484
BLUE SHIELD/BLUE CROSS
MO
01
—
1201063
UNITED HEALTHCARE
MO
01
—
2087193601
KANSAS MEDICAID
MO
05
—
209789510
—
MO
01
—
370018322
RR MEDICARE
MO
01
—
384381
HEALTHLINK
MO
Enumeration date
05/28/2006
Last updated
11/26/2007
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