Carolyn Kay Douglas, PA-C

NPI #1972964690 in Madison, Wisconsin

Provider Information

NPI Number: 1972964690
Entity Type: Individual
Name: Carolyn Kay Douglas, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 8, 2016
Last Updated: Jan 22, 2021

Practice Location

Address: 7102 MINERAL POINT RD
City: Madison
State: Wisconsin
ZIP Code: 53717-1706
Phone: (608) 828-7603

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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