Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kenneth P Doughty, CSA

Individual provider Surgical Physician Assistant · NPI 1679839195

Kenneth P Doughty, CSA is a Surgical Physician Assistant in Rockville, Maryland. Practices as a sole proprietor. Licensed in Virginia.

Licensed in
VA
In the registry since
2012

Practice location Address checks out

9715 Medical Center Dr Ste 528
Rockville, MD 20850-3320
Phone: (301) 424-1960
Fax: (301) 424-1961
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 3148 (VA)

Record details

NPI number1679839195
Entity typeIndividual (Type 1)
GenderMale
Credentials CSA
Sole proprietorYes
NPI enumeratedApril 10, 2012
Last updated in NPPESApril 10, 2012

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