Katelyn Nicole Dougan

Primary specialty

PharmacistTaxonomy code 183500000X

License

024555 Issued in KY

Practice address

1195 Barret Blvd
Henderson, KY 42420-7508

Phone

(270) 826-6926

NPI assigned

Aug 16, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1174355283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6922 RUSSELL PL",
            "city": "CHANDLER",
            "state": "IN",
            "postal_code": "476109694",
            "telephone_number": "812-483-3413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1195 BARRET BLVD",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424207508",
            "telephone_number": "270-826-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGAN",
        "first_name": "KATELYN",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-16",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "KY",
            "license": "024555",
            "primary": true
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IN",
            "license": "26030850A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rami Diab, MD
• Jovanni Dilegge
• Shanda Southard Dixon
• Peter James Doll, D.P.M.
• Heather Dooley, DI
• Dr Silva and Associates PSC
• Dr. Gregory B. Hagedorn, OD
• Dr. Gregory B. Hagedorn, OD
• Joseph Neil Duff, APRN
• Dunaway Drug Stores, Inc.

• Pharmacist in Henderson, KY
• Providers in Henderson, KY by specialty
• Pharmacist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.