MRS. KIMBERLY ANN DOPPELT (CHANGED FROM KELLER) PA-C NPI 1245309996

NPI Information

  • NPI: 1245309996
  • Provider Name: MRS. KIMBERLY ANN DOPPELT (CHANGED FROM KELLER), PA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 5530 WISCONSIN AVE
    SUITE 1660
    CHEVY CHASE, MD
    ZIP 20815
  • Phone: (301) 657-9876

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NPI Details

MRS. Kimberly Ann Doppelt (changed From Keller), PA-C is a surgical physician assistant in Chevy Chase, MD with 19 years of experience. MRS. Kimberly Ann Doppelt (changed From Keller), PA-C NPI is 1245309996. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5530 WISCONSIN AVE
SUITE 1660
CHEVY CHASE, MD
ZIP 20815-404
Phone: (301) 657-9876
Fax: (301) 657-8240

The NPI 1245309996 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/7/2006 and was last updated on 10/23/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalC0003421MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

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