Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KEVIN ANDREW DOUGLAS, DPM
ActiveKEVIN ANDREW DOUGLAS, DPM is a Foot & Ankle Surgery Podiatrist healthcare provider located in CORAM, New York. NPI 1174020598 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · CORAM, NY
Registration Details
- NPI Number
- 1174020598
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 11, 2018 (8.3533123189296 yrs)
- Last Updated
- Jun 6, 2022
- License
-
N007168 (NY)
Practice Information
- Address
-
100 MIDDLE COUNTRY RDCORAM, NY, 117274412Browse NY providers · Browse ZIP 11727
- Phone
- 6316969636
- Fax
- 6316969635
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
- Additional Specialty
- Foot & Ankle Surgery Podiatrist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.