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NPI Code Detail

MEDICARE: KIMBERLY DOTY

MEDICARE: KIMBERLY DOTY
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
1235Z00000XSpeech-Language Pathologist22004827AIN

General Provider Information

NPI Number : 1689358020
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY DOTY
Provider Business Mailing Address
First Line : 8032 BLACK OAK DR
Second Line :
City : PLAINFIELD
State : IN
Zip : 46168-8175
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8032 BLACK OAK DR
Second Line :
City : PLAINFIELD
State : IN
Zip : 46168-8175
Country : US
Telephone Number : 317-407-0477
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2023
Last Update Date : 06/14/2023

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1114926623 — STEPHEN C HEEGER D.O.
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1649271867 — DANA LEA DONALDSON OD
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1457346579 — AUDREY M ABELL M.D.
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Directions to “ KIMBERLY DOTY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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