person
Kenneth P Doughty, CSA
Surgical Physician Assistant in Rockville, Maryland
NPI 1679839195

Kenneth P Doughty is a Surgical Physician Assistant based in Rockville, MD and is specialized in Surgical. Kenneth P Doughty practices in Rockville, MD and has the professional credentials of CSA. The NPI Number for Kenneth P Doughty is 1679839195 and holds a License No. 3148 (Maryland).

The current practice location address for Kenneth P Doughty is 9715 Medical Center Dr, Rockville, MD and can be reached out via phone at 301-424-1960 and via fax at 301-424-1961. You can also correspond with Kenneth P Doughty through the mailing address at 9715 MEDICAL CENTER DR, ROCKVILLE, MD - 20850-3320 (mailing address contact number: ).

Location: 9715 Medical Center Dr, Rockville, MD, 20850-3320
person
Provider Profile Details
NPI Number
1679839195
Provider Name
Kenneth P Doughty
Credential
CSA
Provider Entity Type
Individual
Gender
Male
Address
9715 Medical Center Dr, Rockville, MD, 20850-3320
Phone Number
301-424-1960
Fax Number
301-424-1961
Provider Enumeration Date
04/10/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9715 Medical Center Dr
City
State
Zip
20850-3320
Phone Number
301-424-1960
Fax Number
301-424-1961
person
Provider Business Mailing Address Details
Address
9715 Medical Center Dr
City
State
Zip
20850-3320
Phone Number
301-424-1960
Fax Number
301-424-1961
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
3148 (Virginia)
Definition
Definition to come...
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