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NPI Code Detail

MEDICARE: DOUGLAS R. ALVEY M.D.

MEDICARE: DOUGLAS R. ALVEY M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician13209KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487641270
Entity Type Code : Individual
Provider Name (Legal Business Name) : DOUGLAS R. ALVEY M.D.
Provider Business Mailing Address
First Line : PO BOX 1685
Second Line :
City : BOWLING GREEN
State : KY
Zip : 42102-1685
Country : US
Telephone Number : 270-745-1467
Fax Number : 270-745-1417
Provider Business Practice Location Address
First Line : 1100 BROOKHAVEN RD
Second Line :
City : FRANKLIN
State : KY
Zip : 42134-2746
Country : US
Telephone Number : 270-598-4832
Fax Number : 270-586-0270
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2005
Last Update Date : 07/08/2007

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