Organization
PENNYRILE UROLOGY PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUGH K DOUGHERTY MD (PARTNER)
(270) 886-5141
Entity
Organization
Contact information
Practice address
219 W 17TH ST, HOPKINSVILLE, KY 42240-1911
(270) 886-5141
(270) 885-1877
Mailing address
219 W 17TH ST, HOPKINSVILLE, KY 42240-1911
(270) 886-5141
(270) 885-1877
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65910036
—
KY
Enumeration date
07/27/2006
Last updated
09/05/2007
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