KENNETH P DOUGHTY CSA
NPI 1679839195
Physician Assistant - Surgical in Rockville, MD

Active since April 10, 2012
9715 MEDICAL CENTER DR, SUITE 528, ROCKVILLE, MD 20850(301) 424-1960(301) 424-1961 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kenneth P Doughty Csa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH P DOUGHTY CSA (NPI 1679839195) is an individual surgical provider in Rockville, Maryland, licensed in Virginia (3148) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1679839195
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKENNETH P DOUGHTYCredential: CSA
Location Address9715 MEDICAL CENTER DR, SUITE 528Rockville, MD 20850-3320
Mailing Address9715 Medical Center Dr, Suite 528Rockville, MD 20850-3320
Fax(301) 424-1961
Sole ProprietorYes
Enumeration DateApril 10, 2012
NPI 1679839195 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License Licensed in VA · 3148
9715 MEDICAL CENTER DR, Rockville, MD 20850

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
9715 MEDICAL CENTER DR, 535
ROCKVILLE, MD 20850
Clinic/Center (Ambulatory Surgical)
9715 MEDICAL CENTER DR, SUITE 230
ROCKVILLE, MD 20850
Plastic Surgery
9715 MEDICAL CENTER DR, SUITE 535
ROCKVILLE, MD 20850
Clinic/Center (Medical Specialty)
9715 MEDICAL CENTER DR, SUITE 531
ROCKVILLE, MD 20850
Specialist
9715 MEDICAL CENTER DR, SUITE 528
ROCKVILLE, MD 20850
Physician Assistant (Surgical)
9715 MEDICAL CENTER DR, 528
ROCKVILLE, MD 20850
Clinic/Center (Ophthalmologic Surgery)
9715 MEDICAL CENTER DR, SUITE 502B
ROCKVILLE, MD 20850
Pediatrics
9715 MEDICAL CENTER DR, SUITE 230
ROCKVILLE, MD 20850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Doughty's NPI number?

The NPI number for Kenneth Doughty is 1679839195. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Kenneth Doughty located?

Kenneth Doughty practices at 9715 Medical Center Dr Suite 528, Rockville, MD 20850. The listed phone number is (301) 424-1960.

What is Kenneth Doughty's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kenneth Doughty was last updated on April 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.