Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KENNETH P DOUGHTY, CSA
Active Sole ProprietorKENNETH P DOUGHTY, CSA is a Surgical Physician Assistant healthcare provider located in ROCKVILLE, Maryland. NPI 1679839195 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · ROCKVILLE, MD
Registration Details
- NPI Number
- 1679839195
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 10, 2012 (14.316407221013 yrs)
- Last Updated
- Apr 10, 2012
- License
-
3148 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9715 MEDICAL CENTER DRSUITE 528ROCKVILLE, MD, 208503320Browse MD providers · Browse ZIP 20850
- Phone
- 3014241960
- Fax
- 3014241961
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
Other Surgical Physician Assistant Providers in ROCKVILLE, MD
| Name | Credential | NPI |
|---|---|---|
| MS. YOLANDO NICOLE MCELROY | PA-C, ATC | 1386610830 |
| MR. JAYSON E. STEVENS | — | 1578614889 |
| MR. DALE E SHOMETTE | CSA | 1205988961 |
| NADINE SETONA THOMPSON | P.A. | 1629112354 |
| WILLIAM QUELL PATRICK JR. | CSA | 1669662540 |
| WILLARD FRASER MARTIN II | — | 1558527333 |
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.