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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

REBECCA M DOUGLAS, PA-C

Active Sole Proprietor

REBECCA M DOUGLAS, PA-C is a Physician Assistant healthcare provider located in EDGEWOOD, Kentucky. NPI 1225698467 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EDGEWOOD, KY

Registration Details

NPI Number
1225698467
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2019 (7.133485203971 yrs)
Last Updated
Jul 16, 2024
Licenses
10003835A (IN)
TH0004004 (IN)
PA2507 (KY)
Sole Proprietor
Yes

Practice Information

Address
610 MEDICAL VILLAGE DR
EDGEWOOD, KY, 410173416
Browse KY providers · Browse ZIP 41017
Phone
8597572132
Fax
8593017010
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in EDGEWOOD, KY

Name Credential NPI
DR. PAUL L LANKISCH JR. PA C 1750363750
ANDREA C GREEN P.A.-C 1356328231
MRS. CARMEN S. GRANDT PA-C 1861440984
MISS CASEY LYNN DOTY PA-C 1053528380
MRS. AMANDA MALLORY SPILLMAN PA-C 1881866689
MRS. CORINNE LENORE MOORE PA-C 1225203128
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.