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Contact Information

CASEY L DOTY, PA-C
20 MEDICAL VILLAGE DR # 254
EDGEWOOD, KY41017
 Phone: 859-344-1600
 Fax: 859-344-0091
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CASEY L DOTY · (Female)

NPI # 1053528380
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 05/17/2007
Last updated 09/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • KY License # PA1038
  • KY Medicaid 7100024070
  • KY Other P00438474 MEDICARE RAILROAD
Hospital affiliation(s)
  • ST ELIZABETH MEDICAL CENTER NORTH - (Acute Care)
    1 MEDICAL VILLAGE DRIVE
    LAKESIDE PARK, KY 41017
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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