Doty, Casey Lynn
Doty, Casey Lynn is an individual health care provider with primary practice located at 20 Medical Village Dr # 254 , Edgewood KY 41017. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Doty, Casey Lynn can be contacted via phone (859) 344-1600.Contact Information
Primary practice address
20 Medical Village Dr # 254
Edgewood KY 41017
Phone: (859) 344-1600
Fax: (859) 344-0091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1038 | Kentucky |
Profile Details
| NPI number | 1053528380 |
|---|---|
| LBN Legal business name | Doty, Casey Lynn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | Sep 20th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053528380 | NPPES |
| Kentucky | Other | P00438474 | MEDICARE RAILROAD |
| Kentucky | MEDICAID | 7100024070 | MEDICARE RAILROAD |
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