KENNETH P DOUGHTY

ROCKVILLE, MD
NPI1679839195
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: VA  3148)
Enumeration Date2012-04-10
Last Update Date2012-04-10
Business Address
-- KENNETH P DOUGHTY csa
9715 MEDICAL CENTER DR SUITE 528
ROCKVILLE, MD 20850-3320
Phone number: 301-424-1960
Mailing Address
-- KENNETH P DOUGHTY csa
9715 MEDICAL CENTER DR SUITE 528
ROCKVILLE, MD 20850-3320
Phone number:
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