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

Mallory Ann Doyle, AGPCNP

Individual provider Nephrology Physician · NPI 1033718465

Mallory Ann Doyle, AGPCNP is a Nurse Practitioner in Elizabethtown, Kentucky. Qualified in 2020, 6 years ago. Practices with Virginia Hospital Center Physician Group LLC, a 350-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Kentucky and Virginia.

Years since qualifying
6
Licensed in
KY, VA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

105 Financial Pl
Elizabethtown, KY 42701-8437
Phone: (270) 765-5112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 N Beauregard St Ste 300, Alexandria, VA 22311-1732 — (703) 717-4148

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 0024183595 (VA)
Nephrology Physician Taxonomy 207RN0300X · Licence 3015251 (KY)

Record details

NPI number1033718465
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGPCNP
Sole proprietorYes
NPI enumeratedOctober 17, 2020
Last updated in NPPESApril 28, 2022
Certification dateApril 28, 2022
Mailing address9309 Holiday Dr, Louisville, KY 40272-2673

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Virginia Hospital Center Physician Group Llc — 350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Elizabethtown