Kenneth P Doughty, CSA - Physician Assistant in Rockville, MD

Kenneth P Doughty, CSA is a Physician Assistant - Surgical based in Rockville, Maryland. Kenneth P Doughty is licensed to practice in Virginia (license number 3148) and his current practice location is 9715 Medical Center Dr, Suite 528, Rockville, Maryland. He can be reached at his office (for appointments etc.) via phone at (301) 424-1960.

NPI number for Kenneth P Doughty is 1679839195 and his current mailing address is 9715 Medical Center Dr, Suite 528, Rockville, Maryland. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1679839195.

Contact Information

Kenneth P Doughty, CSA
9715 Medical Center Dr, Suite 528,
Rockville, MD 20850-3320
(301) 424-1960
(301) 424-1961

Map and Direction




Provider's Profile

Full NameKenneth P Doughty
GenderMale
SpecialityPhysician Assistant - Surgical
Location9715 Medical Center Dr, Rockville, Maryland
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679839195
  • Provider Enumeration Date: 04/10/2012
  • Last Update Date: 04/10/2012

Medical Identifiers

Medical identifiers for Kenneth P Doughty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679839195NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AS0400XPhysician Assistant - Surgical 3148 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth P Doughty is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth P Doughty, CSA
9715 Medical Center Dr, Suite 528,
Rockville, MD 20850-3320

Ph: () -
Kenneth P Doughty, CSA
9715 Medical Center Dr, Suite 528,
Rockville, MD 20850-3320

Ph: (301) 424-1960

Reviews and Comments


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